When reviewing the evolution of mental health and illness care, which event is associated with mental disorders beginning to be viewed as illnesses requiring treatment?

Correct Answer: A

Rationale: The correct answer is A: Establishment of Pennsylvania Hospital in Philadelphia. This is because the Pennsylvania Hospital, founded in 1751, was the first institution in America to treat mental illness as a medical condition requiring specialized care. Prior to this, mental disorders were often viewed as signs of moral failing or demonic possession. The hospital's approach paved the way for the medicalization of mental health and the development of psychiatric treatment. Choices B, C, and D are incorrect because: B: Quaker establishment of asylums, while important for providing care to those with mental illness, did not necessarily view mental disorders as medical conditions requiring treatment. C: Creation of the state hospital system, although significant in expanding access to mental health care, did not necessarily mark the shift towards treating mental disorders as medical illnesses. D: Freud's views on the causes of mental illnesses, while influential in shaping the field of psychiatry, focused more on psychological and unconscious factors rather than the medicalization of mental health care.

Correct Answer: D

Rationale: The correct answer is D because extensive research supports that exercise and proper nutrition significantly improve mood symptoms. Regular exercise releases endorphins and reduces stress, leading to improved mood. Proper nutrition provides essential nutrients for brain function and mood regulation. Choices A, B, and C are incorrect as they do not provide evidence-based information like choice D. Choice A dismisses the importance of exercise and nutrition, choice B implies limited significance, and choice C overlooks the essential role of nutrition in mood regulation.

Correct Answer: C

Rationale: The correct answer is C because the anti-psychiatry movement advocates for a client-centered approach that respects individuals' rights and preferences in care. This implies that nurses should prioritize involving clients in decision-making, respecting their autonomy and preferences. This aligns with the principles of person-centered care and empowers clients in their treatment process. Choices A, B, and D are incorrect because they go against the core principles of the anti-psychiatry movement and ethical nursing practice. Choice A suggests a paternalistic approach, Choice B disregards clients' perspectives, and Choice D promotes the use of coercive methods, all of which are contrary to the values of client-centered care and respect for individual autonomy.

Correct Answer: B

Rationale: The correct answer is B because children often use fantasy to cope with their understanding of loss, as their cognitive development is not fully mature. Children may create alternate realities to help them process and make sense of difficult emotions. This coping mechanism is a common way for children to fill in the gaps in their understanding of loss. A is incorrect because children grieve differently based on their age and developmental stage. C is incorrect because families may grieve at different times, influenced by cultural, individual, and familial factors. D is incorrect because children and adults have different cognitive and emotional abilities, leading to unique ways of grieving.

Correct Answer: D

Rationale: The correct answer is D because paliperidone is a second-generation antipsychotic known for having a lower risk of causing extrapyramidal side effects like dystonia compared to first-generation antipsychotics. This is due to its mechanism of action and receptor profile. Choice A is incorrect as neutropenia is not a common side effect of paliperidone. Choice B is incorrect as paliperidone is available in both oral and long-acting injectable forms. Choice C is incorrect as paliperidone is a second-generation antipsychotic, not a first-generation antipsychotic.