Research undertaken by Miller and Rahe in 1997 demonstrated a correlation between the effects of life change and illness. This research led to the development of the Recent Life Changes Questionnaire (RLCQ). Which principle most limits the effectiveness of this tool?

Correct Answer: D

Rationale: The principle that most limits the effectiveness of the Recent Life Changes Questionnaire (RLCQ) is that personal perception of the event is excluded. The RLCQ assigns numerical values to different life events based on the scale developed by Holmes and Rahe. However, this tool does not take into account how individuals subjectively perceive or experience those events. Personal perception plays a significant role in how individuals react to stressors and can influence their susceptibility to illness. By not considering personal perception, the RLCQ may not accurately capture the impact of life changes on an individual's health.

Correct Answer: A

Rationale: The client who is most likely to be receptive to psychiatric treatment is typically someone who has a higher level of education, access to resources, and a better understanding and acceptance of seeking mental health support. In this case, the Jewish, female journalist is more likely to have the awareness, openness, and willingness to engage in psychiatric treatment compared to the other options. Additionally, her profession as a journalist may have exposed her to various perspectives and worldviews, making her more receptive to different interventions and treatments. The combination of her background and profession may contribute to a more positive attitude toward seeking and engaging in psychiatric treatment.

Correct Answer: B

Rationale: Learning is enhanced when anxiety is mild. Moderate to severe anxiety can hinder the learning process by overwhelming the patient, making it difficult for them to focus and retain information. Mild anxiety, on the other hand, can actually improve learning by increasing alertness and focus without causing distress or interference with cognitive functions. Therefore, it is essential for the nurse to recognize the level of anxiety in the patient and aim to keep it at a mild level to facilitate effective medication instruction.

Correct Answer: C

Rationale: The most accurate statement about the concept of neuroses is that an individual experiencing neurosis is aware of psychological causes of his or her behavior. Neuroses are considered milder forms of mental illness where individuals are aware of their distress and the psychological factors contributing to their symptoms. Unlike individuals with psychosis, who may have a loss of contact with reality, individuals with neuroses have insight into their condition and are able to recognize the causes of their distress. This awareness can often be a key factor in seeking and benefiting from treatment.

Correct Answer: B

Rationale: According to Maslow's hierarchy of needs, the sense of belonging and love comes after physiological needs, safety, and esteem needs. When a client expresses feelings of isolation, such as saying that no one cares, it indicates a lack of social belonging and support. This situation would require priority intervention by a nurse to address the client's emotional well-being and provide the necessary support and reassurance. Ignoring these feelings could potentially exacerbate the client's emotional distress and impact their overall mental health. Therefore, addressing the client's sense of isolation and providing emotional support should be the priority in this scenario on an inpatient psychiatric unit.