Which comment best indicates a patient is self-actualized?

Correct Answer: D

Rationale: The correct answer is D because it reflects self-actualization by showing an appreciation for simple pleasures and being in touch with nature, indicating a sense of fulfillment and inner peace. Choice A focuses on external factors, choice B relies on a plan for validation, and choice C emphasizes success through hard work, all of which are not necessarily indicative of self-actualization.

Correct Answer: D

Rationale: The correct answer is D because the patient's action can be explained by the concept of interpreting the UAP's behavior as potentially harmful. In this scenario, the patient was asleep and suddenly awakened by the UAP quietly entering the room and touching the bed. The patient's instinctive response of hitting the UAP in the face can be seen as a defensive reaction triggered by perceiving a potential threat or harm from the UAP's unexpected actions. This aligns with the idea that older adults in a vulnerable state may react aggressively when feeling threatened or unsafe. Choice A is incorrect because it generalizes behavior without considering the specific context of the situation. Choice B is incorrect as it does not directly address the patient's perception of harm from the UAP's actions. Choice C is incorrect as there is no evidence provided in the scenario to support the idea that the patient learned violent behavior from other patients.

Correct Answer: C

Rationale: The correct answer is C: Atheism. Atheism is the belief that there is no existence of any gods or deities. In this scenario, the patient explicitly states that "God does not exist for me," indicating a lack of belief in a higher power. Animism (A) is the belief that objects, places, and creatures possess a distinct spiritual essence. Agnosticism (B) is the belief that the existence of a higher power is unknown or unknowable. Polytheism (D) is the belief in multiple gods or deities, which is not reflected in the patient's statement.

Correct Answer: D

Rationale: The correct answer is D: "What gives your life meaning?" because it directly relates to assessing the patient's spirituality by exploring their values, beliefs, and purpose in life. This question allows the nurse to understand the patient's spiritual perspective and connection to something greater than themselves. Choice A is incorrect because it focuses on mental health and suicide risk rather than spirituality. Choice B is also incorrect as it emphasizes the importance of family rather than exploring the patient's spiritual beliefs. Choice C is incorrect as it delves into moral philosophy rather than directly addressing the patient's spirituality. By asking about the meaning in life, the nurse can gain insight into the patient's spiritual well-being and provide appropriate support.

Correct Answer: B

Rationale: The correct answer is B: New members are added by birth, marriage, or adoption. This is because families are not solely defined by blood relations but also by relationships formed through birth, marriage, or adoption. This inclusive definition reflects the diverse structures of modern families. Choice A is incorrect as it limits the definition of families to blood relations only. Choice C is incorrect as family size trends vary and may not necessarily be increasing in the United States. Choice D is incorrect as families today are often more mobile due to various factors such as job opportunities and lifestyle choices.