Which client statement demonstrates the mental health concept of resilience?

Choice A rationale

Dismissing the friend and relying solely on a primary care provider (PCP) is inefficient and potentially dangerous in an emergency setting. The PCP may not be immediately available, and the friend often possesses critical, time-sensitive information regarding the client's baseline mental status, recent behavior, or potential ingestion of substances which is invaluable for immediate triage and stabilization in the emergency room.

Choice B rationale

Accepting the friend's information is the appropriate action, as this is consistent with the standard of care in an emergency where the client is incapacitated and unable to provide a coherent history. The principle of beneficence mandates gathering all available relevant data to protect the client's well-being. Confidentiality laws permit disclosure for treatment when the patient is unable to communicate due to a medical emergency.

Choice C rationale

Refusing information due to confidentiality concerns is an incorrect application of HIPAA (Health Insurance Portability and Accountability Act). When a client's medical condition prevents them from making decisions or the situation is an emergency, the law allows the sharing of information with family or close associates involved in their care to facilitate prompt and effective treatment, prioritizing the client's immediate health.

Choice D rationale

Requiring a signed release from a client who is currently unable to provide a coherent history and demonstrate decision-making capacity is an ethical and practical impossibility. Informed consent, including releases, necessitates cognitive ability. Delaying the acquisition of critical history while waiting for the client to become coherent could lead to detrimental delays in diagnosis and potentially life-saving emergency medical interventions

Choice A rationale

The Global Assessment of Functioning (GAF) scale is a historical measure used to rate a patient's overall psychological, social, and occupational functioning on a 0–100 continuum. While it provides a comprehensive snapshot of functioning which may be relevant to Major Depressive Disorder (MDD) severity and treatment planning, it is generally used for Axis V of the DSM-IV and is less common as a primary or specific scale for symptom severity in current MDD assessment.

Choice B rationale

The Beck Depression Inventory (BDI-II) is a widely used, 21-item self-report questionnaire specifically designed to assess the severity of depressive symptoms in adolescents and adults. The items directly correspond to criteria for MDD, covering cognitive, affective, somatic, and behavioral symptoms. It has high reliability and validity for screening and measuring the intensity of the disorder, making it a standard tool.

Choice C rationale

The Body Attitude Test (BAT) is an instrument primarily used to measure the subjective body experience disturbance common in patients with eating disorders, such as anorexia nervosa or bulimia nervosa. Although some patients with MDD may experience changes in body image, this scale is not a standardized, specific, or core measure for the general assessment and severity tracking of Major Depressive Disorder.

Choice D rationale

The Patient Health Questionnaire-9 (PHQ-9) is a 9-item self-report tool that systematically screens for the presence and severity of the nine diagnostic criteria for MDD, as outlined in the DSM-5. Its brevity, ease of administration, and excellent sensitivity and specificity make it a preferred, standardized screening and severity monitoring tool for depression in diverse healthcare settings.

Choice E rationale

The Mini-Mental State Examination (MMSE) is a brief, 30-point questionnaire utilized primarily to assess global cognitive function, including orientation, memory, attention, calculation, and language. While cognitive screening is important, the MMSE is a standard for suspected dementia or delirium, not the specific or standardized measure for tracking the core affective and somatic symptoms of Major Depressive Disorder.