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 correct answer is D (4) on the mental health continuum. The statement indicates a high level of mental well-being, self-esteem, and understanding of the relationship between effort and outcomes, aligning with Level 4. This level signifies positive self-esteem, a sense of purpose, and the ability to cope effectively with life's challenges. Choices A, B, and C are incorrect because they represent lower levels of mental health with characteristics such as low self-esteem, negative emotions, and difficulty coping with stressors.

Correct Answer: D

Rationale: The correct answer is D: select and participate in one group activity per day. This outcome directly addresses the nursing diagnosis of impaired social interaction and sociocultural dissonance by promoting engagement in social activities. By actively participating in a group activity, the patient can practice social skills and interact with others, thus improving social interaction. Choices A and B focus on individual skills rather than social interaction. Choice C relates to decision-making rather than social interaction. Therefore, choice D is the most appropriate outcome to address the patient's nursing diagnosis.

Correct Answer: B

Rationale: The correct answer is B because ensuring access to protective resources through social services is crucial in providing immediate support and safety for Harper. This initial goal focuses on addressing any immediate risks or needs related to her PTSD diagnosis. Play therapy (A) may be beneficial later but is not the primary concern at this stage. Teaching relaxation techniques (C) and understanding human response to trauma (D) are important but not as urgent as ensuring access to protective resources.

Correct Answer: D

Rationale: The correct answer is D: "Do you find it difficult to control your worrying?" This question is most appropriate because it directly assesses one of the key symptoms of generalized anxiety disorder, which is excessive and uncontrollable worrying. By asking this question, the nurse can gather crucial information to help confirm the diagnosis. A: "Have you been a victim of a crime or seen someone badly injured or killed?" - This question is more relevant to assessing symptoms of post-traumatic stress disorder rather than generalized anxiety disorder. B: "Do you feel especially uncomfortable in social situations involving people?" - This question is more indicative of social anxiety disorder rather than generalized anxiety disorder. C: "Do you repeatedly do certain things over and over again?" - This question is more aligned with symptoms of obsessive-compulsive disorder rather than generalized anxiety disorder.

Correct Answer: A

Rationale: The correct answer is A: Acute inpatient setting. Solution-focused therapy is typically used in brief treatment settings where immediate solutions are needed, making it suitable for acute inpatient settings. It focuses on identifying and building upon the client's strengths to facilitate rapid problem-solving. In contrast, community settings (B), clinic settings (C), and home care settings (D) may involve longer-term care and may not prioritize the rapid resolution of issues, making them less likely settings for solution-focused therapy.