Evolve (Psych) - Chapters 4, 34, 35
The nurse wants to assess a family's rational patterns by creating their genogram. Which statement best describes the purpose of such an analysis? "A genogram will assess risk for mental illness in future generations." "A genogram is a tool used for deciding on the best type of therapy for your family." "A genogram will help me see your family structure, history, and current functioning." "A genogram will help us determine the cause of Jeremy's schizophrenia."
"A genogram will help me see your family structure, history, and current functioning." By creating a genogram, nurses and therapists are able to map the family structure and record family information that reflects both history and current functioning. The other options do not describe the function of a genogram.
A democratic group leadership style is most appropriate for which purpose? 30-minute meetings to discuss unit rules Creating meaningful trauma-related artwork A group directed toward anger management The organization the unit's holiday celebration
A group directed toward anger management Democratic leadership is best implemented when extensive group interaction is devoted to problem solving. None of the other options is problem solving in its focus
It is not always guaranteed that all clients who are voluntarily admitted to a behavioral health unit will have the right to which privilege? Refusal of treatment. To send and receive mail. To seek legal counsel. To access all personal possessions.
To access all personal possessions. A client has the right to keep personal belongings unless they are dangerous. Items such as sharp objects, glass containers, and medication are usually removed from the client's possession and kept in a locked area to be used by the client under supervision or returned at discharge. The remaining options are civil rights afforded to all clients
A client on the psychiatric unit who is scheduled to start group therapy asks the nurse, "What does group work mean? I was told I would be going to group and doing group work." How should the nurse respond to provide the best answer to the client's question? "You will attend group therapy and find solutions for each other's problems." "You will give and receive feedback from a group of your peers who may also have similar problems to work through." "You will share your issues with the group and then split up to work separately on solutions based on the ideas the other members provide." "Group work is the work that you do beforehand so you can present it to the group when you meet."
"You will give and receive feedback from a group of your peers who may also have similar problems to work through." Group work is a method whereby individuals with a common purpose come together and benefit by mutually giving and receiving feedback within the dynamic and unique group context. None of the other options accurately and adequately describe group work.
The primary goal and benefit of assertive community treatment (ACT) is demonstrated by which situation? A client and family members attend counseling sessions together at a neighborhood clinic Implementation of a more flexible work schedule for staff Improved reimbursement for services provided in the community A client diagnosed with schizophrenia has avoided being rehospitalization for 16 months
A client diagnosed with schizophrenia has avoided being rehospitalization for 16 months. A primary goal of ACT is working intensely with the patient in the community to prevent rehospitalization. The other options are not goals of ACT
Which statement regarding clients' rights after being voluntarily admitted to a behavioral health unit is true? All rights remain intact. Only rights that do not involve decision making remain intact. The right to refuse treatment is no longer guaranteed. All rights are temporarily suspended.
All rights remain intact. The hospitalized client is not a convicted criminal thus all civil rights remain intact
The case manager is demonstrating an understanding of the primary goals of managed care when engaging in which client intervention? Arranging for the client to have a screening for prostate cancer Notifying the family that the client will require a wheelchair when discharged Providing the client with organizations that help defray the cost of prescribed drug Arranging for respite care when the client's family needs to attend an out-of-state affair
Arranging for the client to have a screening for prostate cancer The goal of managed care is to provide coordination of all health services with an emphasis on preventive care. While appropriate interventions, none of the remaining options focus on preventive care
Which of the following structural safety precautions is most important when attempting to prevent a common type of inpatient suicide? Break-away closet bars to prevent hanging Bedroom and dining areas with locked windows to prevent jumping Double-locked doors to prevent escaping from the unit Platform beds to prevent crush injuries
Break-away closet bars to prevent hanging Hangings are the most common method of inpatient suicide. The other options are important safety measures but don't directly address the suicide method of hanging.
A key quality indicator that might be identified for successful outcome in a medication education group could be that clients will engage in which activity? Stating they respected the leader Demonstrating a bond among members of the group Describe modes of transmission of sexually transmitted diseases Confer with health care provider before changing medication regimen
Confer with health care provider before changing medication regimen The key quality indicator that relates to successful outcomes in a medication education group is the client's recognition of the need to discuss medication changes with his or her physician rather than adjusting the dose or stopping the medication without consultation.
What is the group leader's responsibility in the termination phase? Allowing members to exchange contact information so they may remain as a support for each other. Removing himself or herself from the group so they can function independently. Encouraging group members to reflect on progress made while providing group feedback. Encouraging group members to fill out evaluation forms so the group leader can further improve his or her therapeutic technique.
Encouraging group members to reflect on progress made while providing group feedback. In the termination phase, the group leader's role is to encourage members to reflect on progress they have made and identify posttermination goals. Contact with other members in the group outside of the group is not therapeutic and is usually discouraged. The group leader does not remove himself or herself from the group process. Group members do not fill out evaluation forms in group therapy.
The group goals are to learn to express feelings comfortably rather than keep them covert. When a group member shares with the group how expressing these feelings makes her feel, she is engaging in what activity? Group content Confrontation Subgrouping Providing feedback
Providing feedback Feedback includes letting the group know how they and the comments made in group make the individual feel. This form of sharing is not associated with any of the other options.
Sharing similar experiences in a group setting is referred to using which term? Universality Imparting information Socializing Catharsis
Universality The phenomenon of understanding that one's problems are not unique helps group members feel secure and understood. No other option is used to describe this group behavior
A client was admitted to the behavioral health unit for evaluation and diagnosis after being found wandering the streets. His personal hygiene is poor, and his responses to questions are bizarre and inappropriate. The client's constitutional rights are violated when the nurse makes which statement? "We will help you make decisions that will keep you safe." "I am going to help you shower, so you will not smell so bad." "Your pocket knife and nail clippers will be kept in the nurses' station." "You will be having a number of tests to help us learn about your condition."
"I am going to help you shower, so you will not smell so bad." Every client has the right to be treated with dignity. This statement is demeaning. All of the other statements support the client's rights.
When a group member supports and encourages another group member and feels "good" about doing so, which group phenomenon is being demonstrated? Altruism Catharsis Cohesiveness Instillation of hope
Altruism Altruism involves putting another's needs before one's own. This is the only option that correctly identifies with the example provide in the question.
During a family therapy session a wife states, "My husband is always angry. The children and I are always on edge. We can never relax." The nurse identifies the wife's communication technique using which term? Placating Distracting Generalizing Manipulating
Generalizing Generalization involves making global statements using "always" and "never" when dealing with problematic family issues. Generalization allows the speaker to avoid dealing with specific examples. None of the other options describes the provided conversation
Which assessment tool is highly effective in uncovering multigenerational issues in a family? Genogram Focused interview Family function checklist Family assessment device
Genogram A genogram maps family structure and family information for at least three generations. It graphically depicts relational patterns and multigenerational issues. Demographics, sociocultural context, and critical events can be noted. While helpful, none of the remaining options focus on multigenerational issues
The members of a family openly tell each other what they are thinking and feeling. A nurse listening to their interchanges would assess their communication using which term? Generalizing Double-bind Disengaged Healthy
Healthy Healthy communication is exemplified by being clear and direct in saying what you want and need. The other terms are used to describe some form of dysfunctional communication
What response demonstrates an effective strategy to encourage a nonparticipating member to speak during a group session? "You are letting the group down when you fail to contribute." "Your opinions about what just happened are important." "You must be feeling safe enough to enter the discussion by now." "What you are thinking is very important to the group."
"What you are thinking is very important to the group." Options A, B, and C place the client on the defensive and encourage further withdrawal. Option D is less threatening. The leader needs to be patient and, in a nonthreatening manner, encourage members to make contributions
Which of the following patients meets the criteria for an involuntary admission to a psychiatric mental health unit? A 23-year-old college student who has developed symptoms of anxiety and is missing classes and work A 30-year-old accountant who has developed symptoms of depression A 26-year-old kindergarten teacher who is not in touch with reality and was found wandering in and out of traffic on a busy road A 76-year-old retired librarian who is experiencing memory loss and some confusion at times
A 26-year-old kindergarten teacher who is not in touch with reality and was found wandering in and out of traffic on a busy road Inpatient involuntary admission is reserved for patients who are at risk for self-harm or who cannot adequately protect themselves from harm because of their illness (e.g., a psychotic patient). The other options can all be managed at this point in the community setting and don't meet criteria (risk of harm to self and/or others) for admission.
Which family situation should the nurse assess as warranting a referral for family therapy? A couple is having their first child. They say, "It's certainly going to be a change for us." A husband and wife are sending a son off to college and planning their daughter's wedding. They say, "Soon we will be back to having an empty nest again." A couple is having difficulty dealing with the erratic behavior of their bipolar son. They say, "We're at the end of our rope." The parents of a blended family with five children ranging in age from 5 to 15 years say, "It's never quiet, but the disagreements eventually get worked out."
A couple is having difficulty dealing with the erratic behavior of their bipolar son. They say, "We're at the end of our rope." The family in option C is the only family system clearly expressing an unmanageable degree of stress. The other systems may be undergoing stress but have not expressed distress.
Which of the following patients would be appropriate to refer to a partial hospitalization program (PHP)? A depressed patient with a suicidal plan A patient being discharged from an inpatient alcohol rehabilitation unit A client who has stopped taking his or her antipsychotic medication and is neglecting his or her basic needs Jeff, who has mild depression symptoms and is starting outpatient therapy
A patient being discharged from an inpatient alcohol rehabilitation unit PHP is for patients who may need a "step-down" environment from inpatient status or for those who are being diverted from hospitalization with intensive, short-term care from which they return home each day. This patient would be a good candidate after completing alcohol rehab; PHP could possibly help prevent relapse in the early stages after rehab. This patient can be managed with regular outpatient therapy and does not need intensive short-term therapy such as PHP. Someone who is suicidal would require inpatient hospitalization for safety as would someone who is decompensated and not caring for herself. A patient exhibiting mild depression would be managed with outpatient therapy and would not need intensive short-term therapy
Which situation is the best example of a double bind? A wife sighs while telling her husband, "You can go out with the boys tonight if it's what you really want to do." A mother tells her son, "Under no circumstances will I give you permission to stay out after midnight." A roommate states, "I would prefer to have you call if you think you are going to be late for dinner." A man says, "I was surprised and delighted when my entry was chosen for an award."
A wife sighs while telling her husband, "You can go out with the boys tonight if it's what you really want to do." A double bind is created when the verbal and nonverbal messages are incongruent, leaving the listener confused or trapped ("damned if he does and damned if he doesn't"). None of the other options present such a confused message.
When a member tells the group, "I think the committee saw how unsure of myself I am. I felt all shaky inside during the promotion interview, just like I am feeling and acting right now." To present reality the leader should provide which response? Remain silent and nod slightly to signal that the client should continue. Say, "Tell us more about how you are feeling." Ask, "Does this shaky feeling occur often?" Ask the group to give feedback about how the client appears to them.
Ask the group to give feedback about how the client appears to them. This option is the only one that will result in present reality. The client will learn more about the reality of how he appears to others. The remaining options either give encouragement to continue or seek additional information.
What is the primary function of the nurse generalist in caring for families? Assessing the amount of stress on the system Conducting private family therapy sessions Prescribing psychobiological intervention Determining the new skills the family needs
Assessing the amount of stress on the system An important function of a nurse generalist is to assess cues from various family members that indicate the degree and amount of stress the family system is experiencing and report these so that appropriate interventions may be made in a timely manner by a qualified counselor. The remaining options are outside the scope of practice of a psychiatric nurse generalist.
At what point in the life of a group lasting 12 sessions should confidentiality be explained and discussed? At the first session As the working phase begins Just before the group terminates At the time each client is interviewed
At the first session Confidentiality is part of the ground rules that are established at the beginning of the group sessions.
When a nurse says, "I work with a mobile mental health unit," what assumption can a client accurately make about the care being provided? The patients who are convicted criminals sentenced to home confinement. Care is provided to clients in unconventional settings. Care is provided by a preferred provider for a large HMO. The patients are provided for by a clinical specialist with the visiting nurse service.
Care is provided to clients in unconventional settings. Mobile mental health units travel throughout the community, seeing clients on their own "turf," such as in shelters, on street corners, in homes, and at factories
In order to be most effective, the community mental health nurse involved in assertive community treatment (ACT) needs to possess which characteristic? Knowledge of both national and local political activism The ability to cross service systems An awareness of own cultural and personal values Creative problem-solving and intervention skills
Creative problem-solving and intervention skills Creative problem-solving and intervention skills are the hallmark of care provided by the ACT team
During a family therapy session the mother says to her daughter, "I would like to know why you took the piece of pie that was left after dinner last night. You knew I wanted it." Later the father tells his daughter, "I know exactly why you did that." The nurse therapist should consider the possibility that the family is demonstrating which boundary issue Clear Diffused Disengaged Inflexible
Diffused A common phenomenon within families with diffuse boundaries is that individuals expect other members of the family to know what they are thinking. The described conversation is not reflective of any of the other options.
What is the primary advantage of using a case manager when considering the planning and implementation of client care? Increases collaborative practice. Enhances resource management. Increases client satisfaction with care. Promotes evidence-based psychiatric nursing.
Enhances resource management. Case management coordinates and monitors the effectiveness of services appropriate for the client. While the other options are true statements, none describes the primary advantage of the case manager model of health care delivery.
What term best describes a family dynamic where boundaries are not clear and whose members are overinvolved with each other? Clear boundaries Enmeshment Scapegoating Rigid boundaries
Enmeshment *When boundaries are diffuse, individuals tend to become "enmeshed."* As a consequence, it is not clear who is in charge, who is responsible for decisions, and who has permission to act or take charge; family members are often overinvolved with each other. Clear boundaries are adaptive and healthy. They are well understood by all members of the family and give family members a sense of "I-ness" and also "we-ness." Scapegoating refers to a situation in which one member of the family is seen as the cause of all the problems. Rigid boundaries are characterized by the consistent adherence to rules and roles—some apparent and some less so—no matter what.
A family consists of a husband, a wife, their three children, and the wife's mother. This family form is referred to using which term? Extended Dyadic Blended Indwelling
Extended An extended family (multigenerational) is a composite of three or more generations. None of the other options refer to this family composition
What are the advantages of therapy groups? Select all that apply. Feedback from peers Treatment of multiple people at one time Promotion of independence in problem solving Provision of an opportunity to practice communication Promotion of a feeling of belonging Promotion of confidentiality
Feedback from peers Treatment if multiple people at one time Provision of an opportunity to practice communication Promotion of a feeling of belonging All these options are advantages of groups. Since the members openly discuss and provide feedback, confidentiality is not possible.
When the group leader suggests that a client "choose the problem that is troubling you most at this time and tell us about it." The leader is promoting what action? Insight Focusing Reframing Feedback
Focusing Focusing helps the group consider one problem rather than trying to attend to multiple problems at one time. None of the other options are associated with selecting a particular focus.
A therapeutic inpatient milieu will include which characteristic? It provides for the client's safety and comfort. Voluntarily admitted clients are generally allowed additional privileges. Rules and behavioral limits are flexibly enforced. Staff provide frequent and ongoing negative feedback to clients.
It provides for the client's safety and comfort. Because the acuity level on inpatient units is high, nurses are responsible for ensuring that the environment is safe and that elopement and self-harm opportunities are minimized. The other choices are undesirable characteristics of a therapeutic milieu
The advanced practice nurse running a group on the adolescent unit makes no attempt to control the topic and makes no comment unless asked a direct question. What leadership style is the nurse implementing? Autocratic Authoritarian Democratic Laissez-faire
Laissez-faire A laissez-faire leader allows the group members to behave in any way they choose and does not attempt to control the direction of the group. Autocratic leaders control the group, pick the topic, and do not allow for much interaction. Authoritarian is another word for autocratic. A democratic leader involves the group members in decision making
When considering the ongoing, crucial responsibilities of nurses working on an inpatient psychiatric unit, which activity has highest priority? Fostering research Maintaining a therapeutic milieu Providing sympathetic listening Providing constructive negative feedback
Maintaining a therapeutic milieu Nursing is the discipline primarily responsible for maintenance of a therapeutic milieu, an environment that serves as a real-life training ground for learning about self and practicing communication and coping skills in preparation for a return to the community outside the hospital. While the remaining options are nursing responsibilities, none has the priority of maintaining a therapeutic milieu
A girl is overheard saying to her brother, "If you stick up for me with mom and dad, I will forget I heard you planning to sneak out after they are asleep." This can be assessed as what type of communication? Manipulative Scapegoating Generalizing Placating
Manipulative One example of manipulation occurs when a family member makes a request with strings attached so that the other person has difficulty refusing. This example is not associated with any of the other options
What function is shared by advanced practice and general practice psychiatric nurses? Prescriptive authority Admitting privileges Offers consultation services Membership on a multidisciplinary team
Membership on a multidisciplinary team Nurses at both levels are expected to collaborate with multidisciplinary teams; only the advanced practice nurse has prescriptive authority and admitting privileges and can provide consultation
Which situation demonstrates the nurse functioning in the role of advocate? Providing one-to-one supervision for a client on suicide precautions Co-leading a medication education group for clients and families Attending an in-service education program to obtain recertification in cardiopulmonary resuscitation Negotiating with the client's HMO for extension of a 3-day hospitalization to 5 days
Negotiating with the client's HMO for extension of a 3-day hospitalization to 5 days In the inpatient setting, case managers on the hospital team communicate daily or weekly with the client's insurer and provide the treatment team guidance regarding the availability of resources. In the community, multiple levels of intervention are available within case management service, ranging from daily assistance with medications to ongoing resolution of housing and financial issues
The nurse reading in a group's protocol notes that it is a closed group understands that the group demonstrates which characteristic? Discussion topics will be restricted. Membership is limited to one gender. No new members will be allowed. The group is focused on demonstrating cohesiveness.
No new members will be allowed. A closed group is one to which no members are added once the group has begun. The term closed does not refer to any of the other options
The family that consists of a married mother and father and three biological children all living together is referred to using which term? Blended family Cohabitating family Nuclear family Other family
Nuclear family A nuclear family consists of one or more children who live with married parents who are the biological or adoptive parents to all the children. Blended family refers to one or more children living with a biological or adoptive parent and an unrelated stepparent who are married to each other. Cohabitating family refers to one or more children living with a biological or adoptive parent and an unrelated adult who are cohabitating. "Other" refers to one or more children living with related or unrelated adults who are not biological or adoptive parents. This includes children living with grandparents and foster families.
In addition to physicians, what other members of the mental health disciplines have been identified as having the knowledge, skills, ability, and legal authority to intervene in the full range of mental health care? Nurses Social workers Clinical psychologists Chemical dependency counselors
Nurses Nurses are the only caregivers listed who can provide both physical and psychological care for mental health clients
At what phase of group development would the nurse hear the following interchange? Client 1: "I do not feel comfortable here." Client 2: "I wonder what we are supposed to talk about." Client 3: "Let's ask the leader to explain things again." Preorientation Orientation Working Termination
Orientation During orientation the members get to know one another. Initially, they experience anxiety and are unsure of the expectations.
Which group phase is most influenced and managed by the group leader? Orientation Working Termination Post-termination
Orientation The group leader often is most directive in the orientation phase, in which roles and ground rules are set. No other phase is so managed by the leader.
Most clients who are diagnosed with chronic mental illness are not likely to have their psychiatric mental health experiences covered by which payment method? Private insurance Medicare Medicaid Private pay
Private insurance Because most health insurance is employer based, few chronically ill clients have private insurance. The other options are examples of ways patients pay for their needed mental health services
The nurse who provides therapeutic milieu management supports the clients best by concentrating on which client need? Opportunity to act out fears and frustrations Providing a safe place to practice coping skills Meeting their physical as well as emotional needs Encouraging group communication about existing problems
Providing a safe place to practice coping skills A therapeutic milieu can serve as a real-life training ground for learning about the self and practicing communication and coping skills in preparation for a return to the community. The other options are considered components of a therapeutic milieu
The psychiatric community health nurse engages in secondary prevention when implementing which intervention? Visiting a homeless shelter to provide mental health screenings for its clients Discussing the need for proper nutrition with a depressed new mother Providing stress reduction seminars at the local senior center Visiting the home of a client currently displaying manic behavior
Providing stress reduction seminars at the local senior center Secondary prevention is aimed at reducing the prevalence of psychiatric disorders. Early identification of problems, screening, and prompt and effective treatment are hallmarks of this level. While it does not stop the actual disorder from beginning, it is intended to delay or avert progression. None of the other options are focused on early identification of problems
A nuclear family consists of married parents, a 16-year-old daughter, and a 19-year-old son recently diagnosed with schizophrenia. The rest of the family is bewildered with his symptoms and express that they feel lost in knowing how to deal with things. Which of the following approaches to family therapy should the nurse implement at this time to provide support and give information to the family that will help them cope with their son's illness? Insight-oriented family therapy Psychoeducational family therapy Behavioral family therapy Multigenerational family therapy
Psychoeducational family therapy The primary goal of psychoeducational family therapy is the sharing of mental health care information. This helps family members better understand their member's illness, prodromal symptoms (symptoms that may appear before a full relapse), medications needed to help reduce the symptoms, and more. Psychoeducational family meetings allow feelings to be shared and strategies for dealing with these feelings to be developed. Insight-oriented therapy focuses on developing increased self-awareness, other awareness, and family awareness among family members. Behavioral family therapy focuses on changing behaviors of family members to influence overall patterns of family interactions. The last option is a distractor and is incorrect
During family therapy the family's youngest daughter says, "They care more about my sister because she's older and gets straight As in school." Which nursing diagnosis should be given priority? Deficient knowledge Parental role conflict Defensive coping Relational problems
Relational problems This discourse concerns relational problems related to a mental disorder, a generic medical condition, or a sibling relational problem. No data suggests the other diagnoses
A patient diagnosed with borderline personality disorder is attending a court-ordered therapy group. The patient projects an angry affect, does not speak much, except to make a snide comment about another member of the group or the group's leader. What is the best way for the leader to handle this patient's behavior? Remove the patient from the group because this behavior is disrupting the group process for other participants. Respond neutrally to the patient's comments, ask for group feedback, and talk privately with the patient to form a therapeutic connection. Spend an entire group session focused on that patient and try to get him/her to open up to other members in depth. Confront the patient firmly each time he/she makes a rude comment and let him/her know they will be taken out of group if the behavior continues.
Respond neutrally to the patient's comments, ask for group feedback, and talk privately with the patient to form a therapeutic connection. The group leader should listen to the comments objectively and without becoming defensive. The leader may choose to speak to the group member in private and ask what is causing the anger, to form a connection with the patient that may result in less disruptive behavior in group. In the group setting, the leader can focus on positive group members whose comments may reduce the hostility of the negative group member. Part of the group process includes problem-solving skills and getting group feedback for issues. Spending an entire session discussing one patient is inappropriate in a group setting. Confrontation done on a continual basis would disrupt the group process and focus heavily on the hostile client
At the first therapy session the family's father tells the therapist that "We wouldn't have to be here if our younger son wasn't such a brat. He seems so different from our other son. We never had difficulty with him misbehaving." The other sibling offers "He gets upset pretty easily." The nurse should suspect that the younger son is the focus of which family dynamic behavior? Scapegoating Boundaries resisting Differentiation Multigenerational transition.
Scapegoating A scapegoat is the person others blame for the family's distress. Those blaming the scapegoat are usually trying to keep the focus off their own painful issues and problems. The parents seem to be scapegoating the younger son. The information presented does not support any of the other options
When several group members always sit together and nod or smirk as others are talking, the leader assesses this behavior using which term? Confronting Blocking Subgrouping Imitating
Subgrouping Subgrouping involves formation of a splinter group within the larger group. Members of the subgroup show more loyalty to each other than to the larger group. None of the other options are associated with behavior
When a client is encouraged to talk with others who have had similar problems, the nurse is suggesting a which type of group? Cognitive-behavioral Time-limited Support group Milieu group
Support group Support groups are composed of members who have had or are currently sharing similar experiences, such as a bereavement group or a group of women with breast cancer. None of the other options have this specific purpose as its focus.
Which phase of group therapy does the group deal with feelings associated with separation and loss? Orientation Working Termination Post-termination
Termination During termination, the group members must face the fact that they are at a parting of the ways. Unresolved feelings associated with other terminations and separations may surface and need to be addressed. None of the other options are focused on the emotions associated with the ending of the group experience
A 26-year-old client diagnosed with schizophrenia is having difficulty adjusting to the community after hospitalization. His family is dismayed by his poor hygiene and avolition. Which intervention should the nurse suggest? The client attending a psychoeducational group Close supervision of the client by the family Encourage the family to ignore all symptoms except delusions. Suggest group home living for the client in order to avoid family burnout.
The client attending a psychoeducational group Psychoeducation can help the family learn to accept the illness of a family member, learn to deal effectively with symptoms, and understand medications. None of the other options provide a realistic, effective intervention to manage this client's socialization and self-care issues
Which criterion must be met to refer a client to a partial hospitalization program? The client is hospitalized at night in an inpatient setting. The client must be able to provide his or her own transportation daily. The client is able to return home each day. The clients are all recovering from an addiction.
The client is able to return home each day. Returning home each day is a criterion because doing so allows the person to test out new skills and gradually re-enter the family and society. None of the remaining options are true statements regarding partial hospitalization programs.
The family consists of the husband and his wife, their four children, the wife's 21-year-old sister, and client's elderly aunt. Which members are considered the client's nuclear family? The parents and their four children The wife and her sister The husband and his aunt The four children and the wife's sister
The parents and their four children The term nuclear family refers to parents and the children under the parents' care
The client disagrees that her husband should seek a promotion since it will require the family to move. After she discusses the situation with their 12-year-old, the child tells her father she does not want to move. The client has engaged in which form of dysfunction family dynamics? Triangulation Enmeshment A double bind Diffuse boundaries
Triangulation Triangulation occurs when a two-person relationship is under stress and one person draws in a third person to stabilize the system by forming a coalition
A nurse works with a nuclear family that includes an adult child diagnosed with schizophrenia. The child's mother confides that she and her husband "have not been getting along well." She states that her teenage daughter provides much support to her and claims that "she doesn't really like her dad much anymore and doesn't talk to him." The nurse suspects that the family is experiencing which family dysfunctional dynamic? Emotional abuse Neglect Boundary blurring Triangulation
Triangulation Triangulation refers to a family "triangle" of three. When the tension in a dyad (two people) builds, a third person (child, friend, or parent) may be brought in by one of the members. This third person of the dyad serves to help lower the tension by solving the crisis or offering understanding. Family triangles may create emotional instability in the long run and are not optimal for dealing with problems in an open and direct way. There is nothing that indicates abuse. There is nothing to indicate neglect. Boundary blurring occurs when boundaries are diffuse, or unclear.
At what point would the nurse expect a family to demonstrate the greatest dislocation in the family life cycle? When the couple is deciding whether to have children When the first child enters school When a member is diagnosed with multiple sclerosis When the couple renegotiates the marital system as a dyad
When a member is diagnosed with multiple sclerosis Family stress is often the greatest at times of serious illness, death, or divorce. While the other options can produce levels of stress, none are as stressful as coping with a family member's chronic illness.
Question 4 of 5 When considering mental illness, recovery is best described to a client by which statement? Working, living, and participating in the community Never having to visit a mental health provider again Being able to understand the nature of the diagnosed illness A period of time when signs and symptoms are being managed
Working, living, and participating in the community Recovery is described as the ability of the individual to work, live, and participate in the community. Never having to visit a mental health provider is unrealistic. While important to recovery understanding of the disorder is not a demonstration of recovery. Remission is a period of time when signs and symptoms are being managed.