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Using the strategic approach with a family in therapy, the therapist would:
- A. Try to change family principles that may be promoting dysfunctional behavior patterns.
- B. Strive to create change in destructive behavior through improvement in communication and interaction patterns.
- C. Encourage increase in the differentiation of individual family members.
- D. Promote change in dysfunctional behavior by encouraging the formation of more diffuse boundaries between family members.
Correct Answer: A
Rationale: The correct answer is A because in the strategic approach, therapists focus on changing the underlying principles within the family system that contribute to dysfunctional behavior patterns. By addressing these core beliefs and principles, therapists aim to create lasting change in the family dynamics.
Incorrect choices:
B: While improving communication and interaction patterns is important in family therapy, it is not the primary focus of the strategic approach.
C: Increasing the differentiation of individual family members is more aligned with structural family therapy, not the strategic approach.
D: Promoting more diffuse boundaries between family members may lead to further dysfunction rather than resolving it in the strategic approach.
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is a set of observable and measurable actions.
- A. Emotions
- B. Thoughts
- C. Behaviour
- D. Attitude
Correct Answer: C
Rationale: Behavior refers to observable, measurable actions, distinguishing it from internal states like emotions.
Which statement most accurately describes substance dependence?
- A. It is a lack of control over use. Tolerance and withdrawal symptoms occur when intake is reduced or stopped.
- B. It occurs when psychoactive drug use interferes with the work of competing neurotransmitters.
- C. Symptoms occur when two or more drugs that affect the central nervous system (CNS) have additive effects.
- D. It involves taking a combination of substances to weaken or inhibit the effect of another drug.
Correct Answer: A
Rationale: Rationale for Answer A:
1. Substance dependence involves a lack of control over use, leading to compulsive drug-seeking behavior.
2. Tolerance and withdrawal symptoms are key indicators of substance dependence when intake is reduced or stopped.
3. These symptoms result from physiological changes in the body due to chronic drug use.
4. The cycle of tolerance and withdrawal reinforces the dependence on the substance.
Summary of why other choices are incorrect:
B. Interference with neurotransmitters is more related to the pharmacological effects of drugs, not a defining feature of substance dependence.
C. Additive effects of drugs do not necessarily indicate substance dependence but rather interactions between different substances.
D. Combining substances to weaken effects does not define substance dependence; it is more about the compulsive use and physical dependence on a substance.
A newly hospitalized patient has needle tracks on both arms. A friend states that the patient uses heroin daily but has not used in the past 24 hours. The nurse should assess the patient for:
- A. slurred speech, excessive drowsiness, and bradycardia
- B. paranoid delusions, tactile hallucinations, and panic
- C. runny nose, yawning, insomnia, and chills
- D. anxiety, agitation, and aggression
Correct Answer: C
Rationale: Rationale:
- Choice C is correct as the patient is exhibiting symptoms of heroin withdrawal, including runny nose, yawning, insomnia, and chills.
- Choice A is incorrect because it describes symptoms of central nervous system depressants, not heroin withdrawal.
- Choice B is incorrect as it describes symptoms of hallucinogens, not heroin withdrawal.
- Choice D is incorrect as it describes symptoms of stimulants, not heroin withdrawal.
The forensic psychiatric nurse oftentimes has conflicting goals when providing psychiatric care while serving the legal system. Which situation best demonstrates this conflict?
- A. Performing a mental health assessment on an individual diagnosed with paranoid schizophrenia who is accused of violently attacking a neighbor he believed was 'spying for the government'
- B. Providing both physical and emotional care to a female who was raped while securing and preserving the evidence that will be used in a court of law
- C. Arranging for and then leading an anger management therapy group for a group of female offenders who are about to be paroled
- D. Conducting a depression screening on a newly incarcerated prisoner serving a 25-year sentence in a federal prison
Correct Answer: A
Rationale: The correct answer is A because it demonstrates the conflict between providing psychiatric care and serving the legal system. In this scenario, the nurse must assess a patient with paranoid schizophrenia who committed a violent act due to delusions. The nurse needs to balance the patient's mental health needs with addressing the legal implications of the violent behavior.
Choice B involves caring for a rape victim and preserving evidence, which aligns with both nursing and legal responsibilities. Choice C focuses on providing therapy to offenders, which does not inherently present a conflict between psychiatric care and legal duties. Choice D involves conducting a depression screening for a prisoner, which is important for mental health care but does not inherently involve a conflict with legal obligations.
he theorist who believes that human nature is positive is
- A. Sigmund Freud
- B. Carl Rogers
- C. Abraham Maslow
- D. Erik Erikson
Correct Answer: B
Rationale: Carl Rogers' humanistic approach views human nature as inherently positive, with a drive toward growth.