RN Nursing · Introduction to Mental Health Nursing · Practice question
A nurse is speaking with a client who reports increased difficulty with anxiety and not wishing to engage in social occasions after the death of a parent. V of the following zones of the mental health care continuum model should the nurse identify the client is experiencing?
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Healthy
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✓
Reacting
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Injured
Answer & explanation
Correct: Reacting
The mental health care continuum model, used in frameworks like the military's Continuum of Care model, describes mental health along a spectrum. The four zones commonly described are Healthy, Reacting, Injured, and Ill. A client in the Reacting zone shows mild and transient distress that interferes with daily functioning but is typically temporary and reversible with appropriate support. This client is experiencing increased anxiety and social withdrawal following the death of a parent, which represents a stress reaction rather than a persistent disorder. These are time-limited changes in behavior and mood that are connected to a specific stressor, fitting the Reacting zone precisely. The Healthy zone describes optimal functioning with no significant distress. The Injured zone represents more severe, persistent symptoms that significantly impair functioning and may indicate a developing condition such as post-traumatic stress disorder or major depression; this client's symptoms are not described as that severe or prolonged. Understanding these zones helps nurses triage mental health needs and direct clients toward appropriate levels of intervention, from self-care and peer support in the Reacting phase to professional treatment in the Injured or Ill phases. Note that the stem appears partially corrupted ('V of the following zones'), but the question content is still interpretable.
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