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The family members of a patient with bipolar disorder express frustration with the unpredictable behaviors of their loved one. Which group should the nurse suggest as most helpful to this family?
- A. Family therapy group
- B. Family education group
- C. Psychotherapy group
- D. Self-help support group
Correct Answer: B
Rationale: Family education groups provide knowledge and coping skills for families dealing with mental illness, addressing their frustration with unpredictable behaviors.
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A client begins to take stock of his life and look into the future. The nurse assesses that this client is in which of Erikson's developmental stages?
- A. Identity versus role confusion
- B. Industry versus inferiority
- C. Integrity versus despair
- D. Generativity versus stagnation
Correct Answer: C
Rationale: Erikson's integrity vs. despair stage, occurring in later adulthood, involves reflecting on one's life and future, as described in the client's behavior.
The primary purpose for generalist nurses to develop skills with psychosocial interventions is
- A. Psychosocial interventions are included on the nursing licensure examinations.
- B. Psychosocial interventions are needed in all nursing practice settings.
- C. Nurses will be consulted to assist in the care of psychiatric patients in acute care settings.
- D. There are a growing number of nursing practice opportunities in mental health settings.
Correct Answer: B
Rationale: Psychosocial interventions are essential across all nursing settings to address clients' emotional and behavioral needs, not just in mental health or for licensure purposes.
Which of the following theories could be classified as humanistic theories?
- A. Cognitive therapy
- B. Maslow's hierarchy of needs
- C. Gestalt therapy
- D. Rogers' client-centered therapy
- E. Rational emotive therapy
- F. Piaget's cognitive stages of development
Correct Answer: B,D
Rationale: Humanistic theories, like Maslow's hierarchy of needs and Rogers' client-centered therapy, focus on self-actualization and personal growth, unlike cognitive, gestalt, rational emotive, or Piaget's developmental theories.
During the initial interview with a client in crisis, the initial priority is to
- A. Assess the adequacy of the support system.
- B. Assess for substance use.
- C. Determine the precrisis level of functioning.
- D. Evaluate the potential for self-harm.
Correct Answer: D
Rationale: Safety is the priority in a crisis, so evaluating the potential for self-harm is critical before assessing support systems, substance use, or precrisis functioning.
A nurse is working with a patient with an eating disorder who refuses to eat a muffin. The nurse asks the patient 'Is there any way that you could see the muffin as just flour and water, basic nutrients your body needs?' In this statement, the nurse is using which type of therapy?
- A. Rational emotive therapy
- B. Cognitive therapy
- C. Gestalt therapy
- D. Reality therapy
Correct Answer: B
Rationale: Cognitive therapy focuses on altering thought patterns, like reframing the muffin as basic nutrients, to change behavior and perceptions.