Nokea
The parent of a child diagnosed with schizophrenia tearfully asks a nurse, 'What could I have done differently to prevent this illness?' Select the nurse's most caring response.
- A. Although schizophrenia is caused by impaired family relationships, try not to feel guilty. No one can predict how a child will respond to parental guidance.'
- B. Most of the damage is done, but there is still hope. Changing your parenting style can help your child learn to cope more effectively with the environment.'
- C. Schizophrenia is a biological illness with similarities to diabetes and heart disease. You are not to blame for your child's illness.'
- D. Most mental illnesses result from genetic inheritance. Your genes are more at fault than your parenting.'
Correct Answer: C
Rationale: Schizophrenia is biological, not caused by parenting. This response reassures parents, relieving guilt. The other options inaccurately blame family dynamics or genes without empathy.
You may also like to solve these questions
A person tells a nurse, 'I was the only survivor in a small plane crash, but three business associates died. I got anxious and depressed and saw a counselor three times a week for a month. We talked about my feelings related to being a survivor, and now I am at peace with the situation.' Which type of therapy was used?
- A. Milieu therapy
- B. Psychoanalysis
- C. Behavior modification
- D. Interpersonal therapy
Correct Answer: D
Rationale: Interpersonal therapy helps process loss and guilt, restoring functioning. Milieu is environmental, psychoanalysis is long-term, and behavior modification changes specific behaviors.
The parent of a 4 year old rewards and praises the child for helping a younger sibling, being polite, and using good manners. A nurse supports the use of praise because, according to the Freudian theory, these qualities will likely be internalized and become what part of the child's personality?
- A. Id
- B. Ego
- C. Superego
- D. Preconscious
Correct Answer: C
Rationale: In the Freudian theory, the superego contains the 'thou shalts' or moral standards internalized from interactions with significant others. Praise fosters internalization of desirable behaviors. The id is the center of basic instinctual drives, and the ego is the mediator. The preconscious is a level of awareness.
An advanced practice nurse determines that a group of patients would benefit from opportunities to practice appropriate social behaviors and learn about basic living skills. The nurse would arrange for what form of therapy?
- A. Milieu therapy
- B. Cognitive therapy
- C. Short-term dynamic therapy
- D. Systematic desensitization
Correct Answer: A
Rationale: Milieu therapy provides a safe environment for practicing social and living skills. The other therapies are individual-focused and do not address group social behavior.
A 26-month-old child displays negative behavior, refuses toilet training, and often shouts, 'No!' when given directions. Using Freud's stages of psychosexual development, a nurse would assess the child's behavior is based on which stage?
- A. Oral
- B. Anal
- C. Phallic
- D. Genital
Correct Answer: B
Rationale: In Freud's stages of psychosexual development, the anal stage occurs from age 1 to 3 years and has, as its focus, toilet training and learning to delay immediate gratification. The oral stage occurs between birth and 1 year, the phallic stage occurs between 3 and 5 years, and the genital stage occurs between 13 and 20 years.
A patient comments, 'I never know the right answer' and 'My opinion is not important.' Using Erikson's theory, which psychosocial crisis did the patient have difficulty resolving?
- A. Initiative versus Guilt
- B. Trust versus Mistrust
- C. Autonomy versus Shame and Doubt
- D. Generativity versus Self-Absorption
Correct Answer: C
Rationale: These statements show severe self-doubt, indicating that the crisis of gaining control over the environment is not being successfully met. Unsuccessful resolution of Initiative versus Guilt results in guilt, Trust versus Mistrust in poor relationships, and Generativity versus Self-Absorption in self-absorption.