When patients diagnosed with schizophrenia suffer from anosognosia, they often refuse medication, believing that:

Correct Answer: D

Rationale: The correct answer is D because anosognosia is a symptom of schizophrenia where patients lack insight into their illness. This lack of awareness leads them to deny or minimize their symptoms and believe they are not actually ill, hence refusing medication. Option A is incorrect because it does not address the core issue of lack of awareness. Option B is incorrect as it introduces an unrelated idea of nurses controlling minds. Option C is also incorrect as it focuses on the fear of side effects rather than the denial of illness itself.

Correct Answer: B

Rationale: The correct answer is B because missing Alcoholics Anonymous meetings can indicate a potential relapse for the patient, posing a significant risk to their mental health. Attending regular meetings is crucial for maintaining sobriety and managing mental illness. Option A is not a priority as the patient's financial situation is stable. Option C is not an immediate concern as living with other patients in partial hospitalization programs may provide support. Option D, while important for the patient's emotional well-being, does not present an immediate risk that requires priority intervention.

Correct Answer: C

Rationale: The correct answer is C: Nutrition: Less than body requirements/Maintains nutrient intake for metabolic needs. Rationale: 1. Donald is cachexic, indicating severe malnutrition. 2. Multiple scabs suggest poor wound healing due to malnutrition. 3. Lower extremity edema can be a sign of protein deficiency. 4. The nursing diagnosis of Nutrition: Less than body requirements fits Donald's clinical presentation. 5. The expected outcome of Maintains nutrient intake for metabolic needs addresses the goal of improving Donald's nutritional status. Summary: A: Risk for injury/Remains free from injury - Not the best choice as Donald's primary issue is malnutrition, not injury risk. B: Ineffective denial/Accepts responsibility for behavior - Not relevant to the physical health issues presented by Donald. D: Risk for suicide/Expresses feelings, plans for the future - Donald's symptoms do not suggest a risk for suicide.

Correct Answer: B

Rationale: Step-by-step rationale: 1. The New Freedom Commission emphasizes consumer and family empowerment in mental health care. 2. Involving consumers and families as driving forces ensures individualized and effective care. 3. This approach aligns with person-centered care principles. 4. Empowering consumers and families promotes collaboration and shared decision-making. 5. This goal enhances mental health outcomes and promotes recovery. Summary: Choice B is correct because it reflects the emphasis on consumer and family involvement in mental health care by the New Freedom Commission. Choices A, C, and D are incorrect as they do not align with the key focus of consumer and family empowerment in the Commission's goals.

Correct Answer: C

Rationale: The correct answer is C: Working phase. During the working phase of group development, members engage in tasks and work towards achieving the group's goals. In this scenario, the nurse indicating that the group will be focusing on expressing conflicts aligns with the working phase, where members actively participate in discussions and address issues within the group dynamic. This phase is characterized by increased cohesion and collaboration among members. A: Planning (formation) phase - This phase involves the initial formation of the group and setting goals. It is focused on getting to know each other and establishing structure, not specifically addressing conflicts. B: Orientation phase - This phase involves introductions and setting norms. While conflicts may arise during this phase as members adjust, the primary focus is on establishing roles and expectations. D: Termination phase - This phase marks the end of the group, where members reflect on their experiences. It is not the phase for actively addressing conflicts within the group.

Correct Answer: A

Rationale: The correct answer is A: People can become aggressive and violent when their basic needs are threatened. In a disaster situation, individuals may experience fear, stress, and uncertainty, leading to heightened emotions and potential aggression. This response is a natural survival instinct when basic needs such as safety, shelter, and food are threatened. Anticipating this response allows the nurse to prepare for managing potential conflicts and ensuring the safety of both victims and responders. Choices B and C are incorrect because people involved in a disaster may prioritize their own survival and well-being before helping others, depending on the situation. Losses incurred during a disaster can have significant long-term effects on victims, such as trauma, grief, and financial hardship. Choice D is incorrect because the psychological distress associated with disasters may not always be immediately felt, as some individuals may initially be in a state of shock or disbelief before processing their emotions.

Correct Answer: D

Rationale: The correct answer is D because anosognosia is a symptom of schizophrenia where patients lack insight into their illness. This lack of awareness leads them to deny or minimize their symptoms and believe they are not actually ill, hence refusing medication. Option A is incorrect because it does not address the core issue of lack of awareness. Option B is incorrect as it introduces an unrelated idea of nurses controlling minds. Option C is also incorrect as it focuses on the fear of side effects rather than the denial of illness itself.

Correct Answer: A

Rationale: The correct answer is A because it reflects the cognitive triad, a concept in cognitive therapy. The patient is displaying negative beliefs about themselves (I always mess things up), the world (my whole world is a mess), and the future (my future will be a big mess). This pattern of negative thinking about oneself, the world, and the future is characteristic of the cognitive triad. Choice B is incorrect because it describes someone else (the sister) and does not reflect the patient's negative self-view. Choice C is incorrect as it describes the bosses and not the patient's own thoughts. Choice D is incorrect as it refers to a superstitious belief about bad things happening in threes, which is unrelated to the cognitive triad.

Correct Answer: C

Rationale: The correct answer is C because it demonstrates a mentally healthy perspective by showing willingness to take responsibility for one's actions and make positive changes for the benefit of the family. This reflects self-awareness, accountability, and a proactive approach to improving relationships. Choice A acknowledges personal mistakes but lacks commitment to change. Choice B reminisces about the past without addressing present conflicts. Choice D shows avoidance and resignation, lacking effort to address underlying issues. Therefore, choice C is the best option for promoting mental health and resolving family conflicts.