Nokea
The primary advantage of a heterogeneous therapeutic group is that:
- A. There will be a variety of backgrounds represented in the group.
- B. Individuals will be expected to function outside their comfort zone.
- C. An opportunity to examine experiences from varied points of view will exist.
- D. Members will see that they are not alone and that others have problems as well.
Correct Answer: C
Rationale: The correct answer is C because a heterogeneous therapeutic group allows members to examine their experiences from varied points of view. This can lead to greater insight, empathy, and understanding among group members. By hearing different perspectives, individuals can gain new insights into their own struggles and learn from others' experiences. This process can enhance personal growth, promote tolerance, and foster a sense of community within the group.
Choices A, B, and D are incorrect because while they may be potential advantages of a therapeutic group, they do not specifically address the primary advantage of a heterogeneous group, which is the opportunity to examine experiences from varied points of view. Choice A focuses on diversity in backgrounds, choice B on stepping outside comfort zones, and choice D on creating a sense of solidarity among group members. However, these advantages are not as directly related to the main benefit of a heterogeneous group as choice C.
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When asked if complementary and alternative medicine (CAM) therapies have value as nursing interventions for mentally ill individuals the nurse replies:
- A. If the client is interested in CAM therapies, as a nurse I need to support that interest.'
- B. CAM therapies are controversial; as a nurse I think their use should be discussed with the physician first.'
- C. Some of these therapies have been proven to have a positive impact on a variety of mental health conditions; to provide effective care for my clients I need to be aware and open to their appropriate use.'
- D. These nontraditional therapies seem to work for some people; as a nurse, I need to educate my clients as to their limitations.'
Correct Answer: C
Rationale: Step-by-step rationale for why choice C is correct:
1. Choice C acknowledges that some CAM therapies have been proven to have a positive impact on mental health conditions.
2. As a nurse, being aware and open to the appropriate use of these therapies can enhance the quality of care provided to mentally ill individuals.
3. By embracing evidence-based practices, the nurse can integrate effective CAM therapies into the treatment plan.
4. It demonstrates a patient-centered approach by considering the potential benefits of CAM therapies for individual clients.
5. This response aligns with the principles of holistic nursing care and evidence-based practice in mental health.
Summary:
Choice A focuses solely on the client's interest without considering evidence-based practice. Choice B emphasizes the controversial nature of CAM without recognizing its potential benefits. Choice D implies a lack of confidence in CAM therapies without acknowledging their proven efficacy. Choice C stands out for its evidence-based approach and patient-centered care in considering the positive impact of CAM therapies on mental health conditions.
The nurse demonstrates an understanding of the first assumption of Stuart's Stress Adaptation Model when:
- A. Encouraging a client's adult children to accompany their parent to family group therapy sessions.
- B. Discussing with a client's health team which interventions should be included in the plan of care.
- C. Planning interventions based on a particular nursing theory that is relevant to the client's problem.
- D. Identifying community resources that will help a mentally ill client live in his own home.
Correct Answer: A
Rationale: Correct Answer: A
Rationale: The first assumption of Stuart's Stress Adaptation Model is that the client is a part of a larger system involving family and social support. By encouraging a client's adult children to accompany their parent to family group therapy sessions, the nurse is acknowledging and incorporating the client's support system. This aligns with the model's focus on involving family members in the client's care to promote adaptation and stress management. This approach recognizes the importance of social support in the client's overall well-being.
Summary of Other Choices:
B: Discussing interventions with the health team focuses on collaboration and coordination but does not specifically address the client's family support system as required by the model.
C: Planning interventions based on a nursing theory is important but does not directly align with the first assumption of involving the client's family.
D: Identifying community resources is beneficial, but it does not specifically address the client's family support system, which is the primary focus of the first assumption in Stuart
A patient comes to an outpatient appointment obviously intoxicated. The nurse should:
- A. explore the patient’s reasons for drinking today.
- B. arrange admission to an inpatient psychiatric unit.
- C. coordinate emergency admission to a detoxification unit.
- D. tell the patient, 'We cannot see you today because you’ve been drinking.'
Correct Answer: D
Rationale: Step-by-step rationale for Answer D (Correct):
1. Safety first: Intoxicated patients can be a safety risk to themselves and others.
2. Ethical responsibility: Providing care to an intoxicated patient may compromise the quality of care.
3. Setting boundaries: Communicating that the appointment cannot proceed due to intoxication sets a clear boundary.
4. Referral assistance: The patient can be directed to appropriate resources for help with substance abuse.
Summary of why other choices are incorrect:
A (explore reasons): Not appropriate when patient is intoxicated. B (inpatient unit): Premature without assessing the situation. C (detox unit): Immediate detox may not be necessary.
Sensory processing disorder (SPD) was likened by its founder (A. Jean Ayres) to a 'neurological traffic jam':
- A. Multiple
- B. Sensory
- C. Adaptive
- D. Communication
Correct Answer: B
Rationale: SPD, per Ayres, is a sensory issue, akin to a neurological traffic jam.
----aims at discussing and understanding the problem, advising and empowering him to take a decision concerning his/her career or life goals in one-to-one sessions:
- A. Guidance
- B. Counseling
- C. Advice
- D. Advise
Correct Answer: B
Rationale: Counseling empowers decision-making through one-on-one problem exploration (Rogers).