Psychoanalysis and psychodynamic therapy begin with two assumptions: first, the client is trying hard to work with the therapist, and second, the client has:

a. obsessional or phobic symptomatology
b. significant psychological problems
c. lots of money and time
d. basic abilities of cognition and insight


D
Psychoanalysis and psychodynamic therapy begin with the assumptions that the client is trying hard to work with the therapist and the client has basic abilities of cognition and insight. These approaches to therapy may be difficult to carry out with individuals who have significant psychological problems, including psychosis, substance abuse, and personality disorders. Even less disabling problems such as phobia or obsessional symptoms may make a psychodynamic approach untenable.

Nursing

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The hospital administration is considering adopting primary nursing as its model of nursing care delivery. Disadvantages of this method are that Note: Credit will be given only if all correct choices and no incorrect choices are selected

Standard Text: Select all that apply. 1. The client may have multiple primary nurses if transfers within the facility are necessary. 2. Physician satisfaction is decreased. 3. Staff nurses cannot be held legally liable for care provided outside their work hours. 4. It requires a knowledge-based nursing practice model. 5. All persons caring for the client must have excellent communication skills.

Nursing

Appropriate suggestions for the family of a patient with bipolar disorder being treated as an outpatient during a hypomanic episode include: (Select all that apply.)

a. providing structure. b. limiting credit card access. c. encouraging group social interaction. d. suggesting limiting work to half days. e. monitoring the patient's sleep patterns.

Nursing

A client was receiving intravenous fluids of 100 ounces per day. The healthcare provider writes an order to reduce the fluid to 85 ounces per day. What percent has the fluid changed?

1. 65% 2. 85% 3. 90% 4. 95%

Nursing

The nurse performing a lethality assessment asks the client whether he is thinking of suicide. Which statement by the client would be of most concern to the nurse?

A. "No, I wasn't, but I am now, thanks to you." B. "I hadn't thought of that, but I can see that you are." C. "Of course not, but there are days when I think that I should be." D. "What is suicide going to do for me except get me excommunicated from the church?"

Nursing