A teenage patient defies the nurse's repeated requests to turn off the video game and go to sleep. The teen says angrily, 'You sound just like my mother at home!' and continues to play the video game. The nurse understands that this statement likely indicates

Correct Answer: C

Rationale: Transference occurs when the client displaces onto the therapist attitudes and feelings that the client originally experienced in other relationships. Transference patterns are automatic and unconscious in the therapeutic relationship. The occurrence of transference does not indicate ineffective parenting or disciplinary practices, nor is it indicative of a disorder. Autonomy is developed much earlier in the toddler years.

Correct Answer: D

Rationale: Compatibility between the therapist and the client is required for therapy to be effective. The client must select a therapist whose theoretical beliefs and style of therapy are congruent with the client's needs and expectations of therapy. It is not required that the client and therapist be the same. The client's benefit is the most important consideration. The client also may have to try different therapists to find a good match.

Correct Answer: D

Rationale: Maslow's hierarchy of needs hypothesizes that the basic needs at the bottom of the pyramid dominate the person's behavior until those needs were met, at which time the next level of needs would become dominant. Vomiting threatens fluid and electrolyte balance and poses a more acute threat to survival than low weight. Once basic physical needs are met, the higher level needs such as body image and self-esteem can be addressed.

Correct Answer: D

Rationale: The correct answer is D) symptom management. In the context of inpatient care for individuals with severe mental illness, addressing symptom management is crucial for ensuring the safety, stability, and well-being of the patient. Symptom management involves controlling and alleviating the distressing symptoms associated with mental illness, such as hallucinations, delusions, extreme mood swings, or cognitive impairments. By effectively managing these symptoms, healthcare providers can help individuals stabilize and improve their functioning, thereby facilitating their recovery and eventual transition to less intensive levels of care. Option A) family issues, while important, may not always be the immediate priority in inpatient care for severe mental illness. Family dynamics and relationships certainly play a significant role in a patient's overall well-being and recovery, but addressing acute symptoms and ensuring safety typically take precedence during the inpatient phase. Option B) insight into illness is valuable for long-term management and recovery, but it may not be the top priority in the acute inpatient setting where immediate stabilization and symptom management are critical. Option C) social skills are essential for long-term functioning and community integration, but they may not be the primary focus during the acute phase of severe mental illness in an inpatient setting where addressing acute symptoms and ensuring safety are paramount. In an educational context, understanding the priority areas in inpatient care for severe mental illness is crucial for healthcare professionals working in psychiatric settings. By prioritizing symptom management, professionals can provide effective and targeted care to individuals in crisis, leading to better outcomes and eventual recovery. It is important for students and practitioners to grasp the significance of prioritizing symptom management in acute care settings to provide optimal care for individuals with severe mental illness.

Correct Answer: D

Rationale: An ACT program has a problem-solving orientation: Staff members attend to specific life issues, no matter how mundane. ACT programs provide most services directly rather than relying on referrals to other programs or agencies, and they implement the services in the clients' homes or communities, not in offices.