An adult says, 'Most of the time I'm happy and feel good about myself. I have learned that what I get out of something is proportional to the effort I put into it.' Which number on this mental health continuum should the nurse select?

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Question 1 of 5

An adult says, 'Most of the time I'm happy and feel good about myself. I have learned that what I get out of something is proportional to the effort I put into it.' Which number on this mental health continuum should the nurse select?

Correct Answer: D

Rationale: The adult in the question demonstrates positive self-esteem, feeling happy and recognizing the relationship between effort and outcomes. This aligns with Level 5 on the mental health continuum, indicating high mental health and well-being. Level 1 represents severe mental health issues, Level 2 reflects low self-esteem, and Level 3 indicates moderate mental health challenges. Therefore, the correct answer is D as it best describes the individual's positive mindset and healthy perspective on life.

Question 2 of 5

A patient with acute depression states, "God is punishing me for my past sins." What is the nurse's most therapeutic response?

Correct Answer: A

Rationale: The correct answer is A because it acknowledges the patient's feelings without challenging or dismissing them. It shows empathy and validates the patient's emotions, promoting a therapeutic relationship. Choice B may invalidate the patient's feelings. Choice C may come off as confrontational. Choice D assumes the patient's beliefs and may not address their emotional distress effectively.

Question 3 of 5

After teaching a class to a group of nursing students about the historical perspectives of mental health care, the instructor determines that the group has understood the information when they identify which of the following as a common belief about mental illness during the medieval period?

Correct Answer: A

Rationale: The correct answer is A: Mental illness in an individual was the result of being possessed by demons. During the medieval period, mental illness was often attributed to supernatural causes like demons. This belief led to practices such as exorcisms to 'cure' the person. This answer is correct as it highlights a common belief about mental illness during that time. Summary of why other choices are incorrect: B: A person was removed from a contaminated environment to protect him or her - This choice does not align with the historical perspective of mental health care during the medieval period. C: Exorcisms were used as the primary mode of treatment to cleanse the person of his or her sins - While exorcisms were used, the primary belief was that mental illness was caused by demons, not necessarily sins. D: The focus was on moral treatment to promote the individual's safety and comfort - Moral treatment was a later development in mental health care, not a common belief in the medieval period.

Question 4 of 5

The nurse is assessing a patient with anxiety and observes the patient yelling and screaming. The nurse, integrating Peplau's theory, interprets this behavior as which of the following?

Correct Answer: B

Rationale: Step-by-step rationale: 1. In Peplau's theory, the nurse-patient relationship is crucial. 2. Yelling and screaming may indicate the patient is releasing pent-up emotions. 3. Relief behaviors suggest the patient is expressing emotions to alleviate anxiety. 4. This behavior aligns with the nurse providing emotional support. 5. Panic behaviors (A) imply uncontrollable fear, not necessarily related to relief. 6. Empathetic linkage (C) involves connecting with patient emotions, not just observing. 7. Social distance (D) is about maintaining boundaries, not addressing emotional distress. Summary: Choice B is correct because it reflects the patient's expression of relief, which aligns with Peplau's theory of nurse-patient relationship. Choices A, C, and D are incorrect as they do not address the specific emotional dynamics observed in the scenario.

Question 5 of 5

A nurse who is working with a patient being treated for depression is using solution-focused brief therapy (SFBT) during the patient's brief psychiatric hospitalization. The nurse decides to use an 'exception question.' Which question would the nurse most likely use?

Correct Answer: B

Rationale: The correct answer is B: When do you not feel depressed? In Solution-Focused Brief Therapy, the focus is on identifying exceptions to the problem rather than exploring the problem itself. The nurse asking about when the patient does not feel depressed helps to highlight moments when the patient's depression is not as prevalent, allowing them to identify coping strategies and potential solutions. Choice A is incorrect because it focuses on the onset of depression rather than the exceptions. Choice C is incorrect as it delves into the contributing factors of depression rather than identifying moments of respite. Choice D is incorrect because it focuses on the conditions for feeling depressed rather than exploring when the depression is not present.

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