The next-to-last meeting of an interpersonal therapy group is taking place. The leader should take which actions? (Select all that apply.)

Correct Answer: B

Rationale: The goals for the termination phase of groups are to prepare the group for separation, resolve related feelings, and prepare each member for the future. Contributions and accomplishments of members are elicited, post-group goals are identified, and feelings about the group's ending are discussed. Group norms are the focus of the orientation phase, and conflict and problem solving are emphasized in the working phase.

Correct Answer: B

Rationale: Individual factors influencing mental health include biologic makeup, autonomy, independence, self-esteem, capacity for growth, vitality, ability to find meaning in life, emotional resilience or hardiness, sense of belonging, reality orientation, and coping or stress management abilities. Interpersonal factors such as intimacy and a balance of separateness and connectedness are both needed for good mental health, and therefore a healthy person would need others for companionship. A family history of mental illness could relate to the biologic makeup of an individual, which may have a negative impact on an individual's mental health, as well as a negative impact on an individual's interpersonal and social/cultural factors of health. Total self-reliance is not possible, and a positive social/cultural factor is access to adequate resources.

Correct Answer: D

Rationale: In the 1950s, a significant shift in the treatment of individuals with mental illness occurred with the availability of psychotropic drugs (option D). This development revolutionized psychiatric care by providing effective pharmacological interventions for various mental health conditions. Psychotropic medications helped alleviate symptoms, improve quality of life, and reduce hospitalization rates for individuals with mental illnesses. Option A, the establishment of community support services, did not occur until later as a response to deinstitutionalization efforts in the 1960s and 1970s. While legislation such as civil commitment procedures (option B) and the Patient's Bill of Rights (option C) are important aspects of mental health care, they did not directly lead to the significant treatment advancements seen with the introduction of psychotropic drugs. In an educational context, understanding the historical evolution of mental health treatment is crucial for healthcare professionals working in adult behavioral health nursing. Knowing the impact of psychotropic drugs on the care and outcomes of individuals with mental illnesses helps nurses provide informed and effective care. It also underscores the importance of staying updated on advancements in pharmacological treatments for mental health conditions.

Correct Answer: C

Rationale: The correct answer is C) 1950. Understanding the historical context of psychiatric nursing becoming a requirement in nursing education is crucial for students of Adult Behavioral Health Nursing. In the 1950s, there was a significant shift in mental health care towards recognizing the importance of psychiatric nursing in treating individuals with mental health disorders. Prior to this time, mental health care was often stigmatized and not integrated into mainstream healthcare practices. The inclusion of psychiatric nursing as a requirement in nursing education in the 1950s marked a turning point in the recognition of mental health as a vital component of overall health and well-being. Option A) 1930 is incorrect because psychiatric nursing was not yet a formal requirement in nursing education during this time. The understanding and treatment of mental health disorders were still in early stages of development. Option B) 1940 is incorrect as well because although there were advancements in mental health care during this time, psychiatric nursing had not yet been established as a standard requirement in nursing education. Option D) 1960 is incorrect as psychiatric nursing had already been integrated into nursing education by the 1950s, making the 1960s too late of a timeframe for when it became a requirement. By knowing the historical timeline of psychiatric nursing becoming a requirement in nursing education, students can appreciate the progression of mental health care within the broader context of healthcare evolution. This knowledge enhances their understanding of the significance of psychiatric nursing in providing comprehensive care to individuals with mental health challenges.

Correct Answer: B

Rationale: In Adult Behavioral Health Nursing, it is crucial to understand the nuances of mental illness assessment. Option B, where the patient reports a consistently sad, discouraged, and hopeless mood, most clearly indicates the potential presence of a mental illness, specifically depression. This finding aligns with the diagnostic criteria for major depressive disorder, highlighting a key symptom. Option A, reporting occasional sleeplessness and anxiety, is a common symptom but alone may not be indicative of a mental illness. It could be a transient reaction to stressors rather than a persistent mood disturbance. Option C, being able to describe the difference between as if and for real, pertains more to reality testing, which is essential in assessing psychotic disorders like schizophrenia, not necessarily a mood disorder. Option D, perceiving difficulty making a decision about changing jobs, could be a sign of stress or indecision related to life choices but does not directly point towards a mental illness without other accompanying symptoms. Educationally, understanding these distinctions is vital for nurses to accurately assess and provide appropriate care for patients with mental health concerns. Recognizing key symptoms and behaviors helps in early identification, intervention, and collaboration with interdisciplinary teams to promote optimal patient outcomes.