Nokea
Describe three of the seven SFT interventions.
- A. Joining, boundary-making, unbalancing
- B. Lecturing, punishing, isolating
- C. Analyzing dreams, free association, transference
- D. Mediation, arbitration, negotiation
Correct Answer: A
Rationale: Joining builds rapport, boundary-making clarifies roles, unbalancing shifts power dynamics in SFT.
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Which statement best demonstrates the current status of the benefit of family involvement to the individual who is mentally ill?
- A. Family involvement is limited by the current confidentiality laws enforced by HIPAA.
- B. Family involvement is best stressed once the individual's mental health status has been stabilized.
- C. Despite education, families are generally ill prepared to significantly impact the mental health of their family member.
- D. While the benefits are well documented, the service is not consistently offered in the majority of mental health systems.
Correct Answer: D
Rationale: The correct answer is D because it highlights the current status of the benefit of family involvement for individuals who are mentally ill. It acknowledges that while the benefits of family involvement are well documented, the actual service is not consistently offered in most mental health systems. This indicates a gap between research evidence and practical implementation, hindering the full realization of the benefits.
Explanation for why other choices are incorrect:
A: Incorrect because although confidentiality laws like HIPAA may pose challenges, they do not necessarily limit family involvement entirely.
B: Incorrect because family involvement is crucial throughout the mental health journey, not just after stabilization.
C: Incorrect because with proper support and resources, families can have a significant impact on the mental health of their loved ones.
Select the legal term that is accurately paired with its description.
- A. Assault: Touching a person without their consent
- B. Battery: Threatening to touch a person without their consent
- C. Slander: False oral defamatory statements.
- D. Slander: False written defamatory statements.
Correct Answer: C
Rationale: Slander refers to false oral statements, while libel pertains to written ones.
ne 'double standard' normally refers to the difference in social attitudes towards
- A. Child and adult sexual activity
- B. Homosexual and heterosexual activity
- C. Male and female sexual activity
- D. Working class and middle class sexual activity
Correct Answer: C
Rationale: The double standard typically critiques differing expectations for male vs. female sexual behavior.
A client who has been prescribed chronotherapy for disrupted sleep patterns resulting from his chronic depression tells the nurse that he can't afford to stay in the hospital for the treatments since he has to get back to work. The nurse responds that:
- A. The therapy requires only a few treatments that can be accomplished in just a few days.
- B. Most employers will view the treatments as a medical necessity and provide sick leave.
- C. He can administer the treatments at home once he is trained to do so.
- D. His treatment team will discuss outpatient alternatives to this form of therapy.
Correct Answer: C
Rationale: Rationale for choice C (correct answer):
1. Chronotherapy involves timed exposure to light and darkness to regulate sleep patterns.
2. The nurse suggests the client can administer the treatments at home once trained, indicating it's feasible.
3. This empowers the client to continue treatment while balancing work obligations.
4. It ensures continuity of care and adherence to the therapy plan.
Summary of other choices:
A: Incorrect - Chronotherapy requires multiple treatments over several weeks, not just a few days.
B: Incorrect - While some employers may provide sick leave, it's not guaranteed and may not cover the entire treatment duration.
D: Incorrect - While outpatient alternatives may be discussed, administering at home is more practical for this client's situation.
During an assessment interview with a newly admitted client, the nurse identifies a sense of anger developing in response to the client's defiant statements. In order to maintain a therapeutic environment, the nurse:
- A. Asks that another nurse continue the assessment.
- B. Identifies for the client the inappropriateness of his statements.
- C. Shares with the client that he appears angry about being admitted.
- D. Postpones the remainder of the interview until the client is more cooperative.
Correct Answer: C
Rationale: Rationale:
C is correct because it acknowledges the client's emotions without judgment, fostering trust and open communication. It validates the client's feelings and helps explore the underlying issues. A avoids addressing the situation directly. B could escalate the client's defensiveness. D may reinforce the client's behavior by allowing avoidance.