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: The correct answer is B) a natural response to loss, encompassing emotional, physical, and cognitive aspects. Grief is a complex emotional response to a loss, which can be triggered by various events such as the death of a loved one, divorce, loss of a job, or a terminal diagnosis. It involves a range of emotions like sadness, anger, guilt, and confusion, as well as physical symptoms like fatigue, loss of appetite, and sleep disturbances. It also affects cognitive processes such as memory, concentration, and decision-making. Option A is incorrect because grief is not characterized by emotional numbness and detachment; rather, it involves intense emotions and connections to the loss. Option C is incorrect as grief is not solely about anger and resentment, although these feelings may be present at times. Option D is incorrect because immediate acceptance without any emotional response is not a typical or healthy grief response. In an educational context, understanding grief is crucial for nurses as they often work with individuals and families experiencing loss. By recognizing the multifaceted nature of grief, nurses can provide empathetic and holistic care to support individuals through the grieving process. It is essential for nurses to be able to differentiate between healthy and complicated grief reactions to provide appropriate interventions and support to those in need.

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: The correct answer is C) Massachusetts. The rationale behind this is that the first training of nurses to work with persons with mental illness occurred at McLean Hospital in Massachusetts in 1882. This historical event marked a significant milestone in the field of psychiatric nursing and laid the foundation for the establishment of specialized mental health nursing programs. Option A) California is incorrect because the first training did not take place in California but rather in Massachusetts. Option B) Illinois is incorrect as the historical event did not occur in Illinois. Option D) New York is also incorrect as the training did not take place in New York. Understanding the historical context of the development of psychiatric nursing is crucial for nurses working in mental health settings. Knowing the origins of mental health nursing education helps nurses appreciate the evolution of their profession and the importance of specialized training in providing quality care to individuals with mental illness. This knowledge also highlights the ongoing need for competent and compassionate mental health nurses in today's healthcare system.

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.