During a group therapy session, a newly admitted patient suddenly says to the nurse, "How old are you? You seem too young to be leading a group." Select the nurse's most appropriate response.

Correct Answer: D

Rationale: The patient's comment is a test of the leader's competence and authority. The leader should respond in a way that acknowledges the patient's concern while maintaining authority. The correct response does this by making explicit the implied question and inviting further discussion. The other responses either deflect the question or fail to address the patient's concern directly.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: C

Rationale: What one society may view as acceptable and appropriate behavior, another society may see that as maladaptive, and inappropriate. Mental health and mental illness are difficult to define precisely. In most cases, mental health is a state of emotional, psychological, and social wellness evidenced by satisfying interpersonal relationships, effective behavior and coping, positive self-concept, and emotional stability. Persons who engage in fantasies may be mentally healthy, but the inability to distinguish reality from fantasy is an individual factor that may contribute to mental illness.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: C

Rationale: Prescriptive authority is used by psychiatric/mental health advanced practice registered nurses in accordance with state and federal laws and regulations. Standards 5a are advanced practice interventions and may be performed only by the psychiatric/mental health advanced practice registered nurse. Psychiatric/mental health registered nurses may provide milieu therapy according to Standard 5c. This is not restricted to psychiatric/mental health advanced practice nurses.