The following events are important in the development of psychiatric-mental health nursing practice. Which event occurred first?

Correct Answer: D

Rationale: The correct answer is D because the publication of the first psychiatric nursing text, "Nursing Mental Disease" by Harriet Bailey, represents the foundational development of psychiatric-mental health nursing practice. This event predates the other choices and laid the groundwork for the field. The other choices occurred later in the timeline of psychiatric-mental health nursing practice. A: Publication of Standards of Psychiatric-Mental Health Nursing by the ANA - This event would have come after the publication of the first psychiatric nursing text and reflects the establishment of standardized practices in the field. B: Publication of Standards of Child and Adolescent Psychiatric and Mental Health Nursing Practice - This event is more specialized and would have developed after the broader standards of psychiatric-mental health nursing were established. C: Establishment of the first graduate program in psychiatric nursing at Rutgers University - The development of a graduate program typically follows the establishment of foundational texts and standards in a field.

Correct Answer: B

Rationale: The correct answer is B because it highlights the essential skills required in mental health nursing - complex communication and critical thinking. Mental health nurses work with patients facing multidimensional issues, requiring them to adapt and problem-solve effectively. This response acknowledges the challenges and emphasizes the importance of these skills in providing quality care. Option A is incorrect as it focuses on the perceived safety of the environment and nurse-to-patient ratios, which are not directly related to the maintenance of clinical nursing skills. Option C is incorrect because while some mental health settings may use high technology monitoring equipment, this does not address the core clinical skills essential for nursing practice. Option D is incorrect as it trivializes the challenges faced by psychiatric nurses by comparing them to medical-surgical nurses. Pain and suffering are not the only indicators of nursing skill and expertise.

Correct Answer: D

Rationale: The correct answer is D because the publication of the first psychiatric nursing text, "Nursing Mental Disease" by Harriet Bailey, represents the foundational development of psychiatric-mental health nursing practice. This event predates the other choices and laid the groundwork for the field. The other choices occurred later in the timeline of psychiatric-mental health nursing practice. A: Publication of Standards of Psychiatric-Mental Health Nursing by the ANA - This event would have come after the publication of the first psychiatric nursing text and reflects the establishment of standardized practices in the field. B: Publication of Standards of Child and Adolescent Psychiatric and Mental Health Nursing Practice - This event is more specialized and would have developed after the broader standards of psychiatric-mental health nursing were established. C: Establishment of the first graduate program in psychiatric nursing at Rutgers University - The development of a graduate program typically follows the establishment of foundational texts and standards in a field.

Correct Answer: C

Rationale: The correct answer is C: Avoidant personality disorder. Schizoid personality disorder is characterized by a lack of interest in social relationships, emotional coldness, and detachment. Individuals with schizoid personality traits often also exhibit symptoms of avoidant personality disorder, which involves feelings of inadequacy, hypersensitivity to negative evaluation, and avoidance of social interactions. This comorbidity is common because both disorders share similarities in their core features of social withdrawal and isolation. Depression (A), substance abuse (B), and anxiety (D) are not typically identified as the most common comorbid disorders with schizoid personality traits.

Correct Answer: D

Rationale: The correct answer is D. The priority for the family who has just lost their home in a fire is to ensure their immediate basic needs are met, such as shelter and food. This is essential for their safety and well-being. Arranging for emergency shelter and food supplies takes precedence over other actions as it addresses the most urgent requirement following a traumatic event like a house fire. Choices A, B, and C are important but not as immediate as ensuring the family has a safe place to stay and access to necessary supplies. Follow-up therapy, genogram completion, and lifestyle assessment can be addressed once the family's immediate needs are met.