During a multifamily psychoeducational family therapy session, a client who has persistent
schizophrenia mentions "Sometimes I feel very sad that I will never have a high-level job like my
brother, who is an executive.
Then I dwell on it, and maybe I should not.". The nurse leader can best
facilitate discussion of this issue by saying
a. "Grieving for what is lost is a normal part of having a mental disorder.".
b. "How have others in the group handled painful feelings like these?"
c. "It is often better to focus on our successes rather than our failures.".
d. "I wonder if you might also experience feelings of anger and helplessness.".
B
Asking for others to share their experiences will facilitate discussion of an issue. Option A gives
information and may serve to close off discussion of the issue because it sounds final. Option C
implies a discussion of the issue is not appropriate. Option D is inappropriate at this point
considering the client has identified feelings of sadness and seems to have a readiness to explore this
feeling.
You might also like to view...
A patient with an acute myocardial infarction has received three nitroglycerin tablets, oxygen, and aspirin and is still complaining of severe crushing chest pain. What is the best nursing action?
A) Give 5 mg intravenous morphine. B) Assess for drug-seeking behavior. C) Give intravenous benzodiazepine. D) Use anxiety reduction measures.
The patient with Graves' disease asks the nurse for additional information regarding this disease. The nurse responds:
1. "Your thyroid gland is not sending out enough hormones, and so you will need replacement hormones." 2. "Your thyroid gland is overactive. There are ways to treat it—through medicine or surgery." 3. "It's an autoimmune disorder—just the same as diabetes and multiple sclerosis." 4. "Your doctor will be able to answer all your questions. It's best to ask him."
The purpose of taking the family history is to identify:
A) Functional or dysfunctional family dynamics. B) Support systems. C) Familial or genetically linked health disorders. D) Rehabilitation needs.
An infant has been diagnosed with cow's milk allergy. What are the clinical manifestations the nurse expects to assess? (Select all that apply.)
a. Pink mucous membranes b. Vomiting c. Rhinitis d. Abdominal pain e. Moist skin