A nurse is caring for a patient who has returned from a bereavement support group.
Which of the following patient statements indicates that the patient is meeting the planned outcomes of treatment?

Choice A rationale
The statement that the milieu consists of the physical and psychosocial environmental factors indicates an understanding of therapeutic milieu. The therapeutic milieu refers to the structured and safe environment that is created in a mental health setting to promote therapeutic interaction and healing.
Choice B rationale
The positioning of chairs around the perimeter of the day room does not necessarily indicate an understanding of therapeutic milieu. While the physical arrangement of the environment can contribute to the therapeutic milieu, it is not the defining aspect.
Choice C rationale
The statement that therapeutic milieu requires unstructured programming, allowing clients to focus on their interests, does not accurately reflect the concept of therapeutic milieu. While client interests are important, therapeutic milieu often involves structured activities designed to promote therapeutic interaction and healing.
Choice D rationale
The statement that clients can keep any personal items in their rooms does not necessarily indicate an understanding of therapeutic milieu. While personal items can contribute to a sense of comfort and safety, therapeutic milieu involves more than just the physical environment.

Choice A rationale
Anxiety is considered transdiagnostic because it can manifest alongside other medical and psychiatric conditions. This means that a person with generalized anxiety disorder (GAD) may also have other conditions such as depression, heart disease, or gastrointestinal problems. The presence of anxiety can also exacerbate the symptoms of these other conditions.
Choice B rationale
Anxiety does not only manifest in the presence of recognized nonmodifiable risk factors. There are many factors that can contribute to the development of anxiety, including genetic predisposition, environmental factors, and personal experiences.
Choice C rationale

While there are recognized modifiable risk factors for anxiety, such as stress and lifestyle factors, anxiety does not only manifest in the presence of these factors. Anxiety is a complex condition that can be influenced by a variety of factors.
Choice D rationale
This statement is incorrect. As mentioned in Choice A, anxiety can and often does manifest alongside other medical and psychiatric conditions.