Marie, age 56, is the mother of five children. Her youngest...

Marie, age 56, is the mother of five children. Her youngest child, who had been living at home and attending the local college, recently graduated and accepted a job in another state. Marie has never worked outside the home and has devoted her life to satisfying the needs of her husband and children. Since the departure of her last child from home, Marie has become more and more despondent. Her husband has become very concerned, and takes her to the local mental health center. This type of crisis is called:

A. Dispositional crisis
B. Crisis of anticipated life transitions
C. Psychiatric emergency
D. Crisis resulting from traumatic stress

Correct Answer: B

Rationale: The correct answer is B: Crisis of anticipated life transitions. This type of crisis occurs when an individual faces major life changes that result in feelings of distress or uncertainty. In this scenario, Marie is experiencing a crisis due to the anticipated life transition of her youngest child leaving home. This event has disrupted her usual roles and routines, leading to feelings of despondency.

Choice A (Dispositional crisis) refers to crises that arise from an individual's internal characteristics or coping mechanisms, which is not the case here. Choice C (Psychiatric emergency) is not applicable as there is no indication of severe or acute mental health issues requiring immediate intervention. Choice D (Crisis resulting from traumatic stress) does not fit the situation as there is no mention of a traumatic event triggering Marie's distress.

In summary, the most appropriate term to describe Marie's crisis is a Crisis of anticipated life transitions, as it aligns with her current situation of struggling to adjust to the new phase of life after

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.

Concept of Family Centered Care

Concept of Family Centered Care Related

Correct Answer: B

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