Which client should the nurse anticipate to be most receptive to psychiatric treatment?

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: 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.

Correct Answer: B

Rationale: Mental health is best defined as successful adaptation to stressors in the internal and external environment. It involves the ability to cope with life's challenges effectively, maintain healthy relationships, and make sound decisions despite facing stress and adversity. Mental health encompasses emotional, psychological, and social well-being and is characterized by resilience, emotional intelligence, self-acceptance, and a sense of purpose. It is not simply the absence of mental illness but a state of overall well-being and optimal functioning. Option B accurately reflects this understanding of mental health.

Correct Answer: A

Rationale: Cultural aspects of mental illness can include how local or cultural norms define what is considered pathological behavior. Different cultures may have varying beliefs and attitudes towards mental illness, influencing how symptoms are perceived and whether help is sought. Understanding these cultural norms is important in providing effective and culturally sensitive mental health care.