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Persons who engage in fantasies are not necessarily mentally ill; fantasizing can be a normal coping mechanism.

It is not always easy to determine mental health versus illness, as these concepts exist on a continuum.

Cultural norms vary; behavior acceptable in one culture may or may not be acceptable in another, so it cannot be considered "always" unacceptable.

This describes cost-effective treatment, not the revolving door effect.

Flexible treatment settings relate to community-based care options, not repeated hospital readmissions.

The revolving door effect does not indicate a reduction in severe mental illness; instead, it highlights recurring hospitalizations.

Substance abuse is not effectively managed with brief hospitalization; long-term, comprehensive treatment is usually needed.

Emergency department visits for acute psychiatric disturbances are not declining; in fact, they are often increasing due to limited community resources.

Although deinstitutionalization aimed to shift resources from state hospitals to community programs, in reality, adequate funding for community support has often not been provided.

Stating it was a joke minimizes the situation and can damage trust with the client.

Pretending it was not said avoids accountability and may increase confusion or mistrust.

Ignoring the error is unprofessional and does not correct the misunderstanding.

Developing autonomy is shown through independence-seeking behaviors, but the client’s response specifically reflects feelings toward another person being redirected.

Oppositional defiant disorder involves persistent defiance, anger, and hostility across multiple settings, not just a single interaction.

The nurse cannot assume family discipline practices based on this interaction alone.

The orientation phase is the initial stage, where roles are clarified, trust begins to form, and goals are established.

The resolution phase (or termination phase) occurs when the client’s needs are met, and the relationship comes to an end.

The exploitation phase involves the client making full use of available services and resources to address problems, which comes after identification.

The resource person provides specific information to help the client understand a situation or problem.

The counselor assists the client in recognizing, facing, and coping with problems.

The teacher provides instruction and knowledge, but not overall direction for the group’s process.

Social skills are important for long-term functioning but are not the first priority in acute inpatient care.

Insight into illness may develop gradually, but in the acute phase, clients may lack awareness of their condition.

Family issues may be addressed later but are not the immediate focus during acute hospitalization.

Sharing personal experiences shifts the focus from the client to the nurse and is not therapeutic.

Offering reassurance such as “It will get better” minimizes the client’s feelings and may block expression.

Saying “I feel so bad” expresses sympathy rather than empathy, focusing on the nurse’s feelings instead of validating the client’s experience.

Reprimanding the client would be punitive and non-therapeutic.

Defining therapy focuses on explaining the process and purpose of therapy, not setting relationship limits.

Letting the client down gently avoids the necessary professional discussion about boundaries and could blur roles.