A client is being transferred from a group home to an evolving consumer household. The goal of this transition is for the client to eventually do what?

Meet with a therapist on a weekly basis.

Fulfill daily responsibilities without supervision.

Use the increased emotional support of paid staff.

Resolve crises within a shorter time period.

Answer and Explanation

The Correct Answer is B

An evolving consumer household, also known as a supported or assisted living arrangement, is designed to provide individuals with a greater level of independence and autonomy compared to a traditional group home setting. The emphasis is on empowering clients to develop and enhance their skills and abilities to live more independently.

By transitioning to an evolving consumer household, the ultimate goal is for the client to be able to fulfill their daily responsibilities without constant supervision. This includes activities such as managing their personal care, household tasks, budgeting, meal preparation, and other essential activities of daily living. The aim is to promote self-sufficiency and a sense of personal agency, enabling the client to become more self-reliant and self-directed in their daily life.

While meeting with a therapist on a weekly basis may be a component of the client's overall treatment plan, it is not the primary goal of transitioning to an evolving consumer household. The focus is more on developing independent living skills rather than solely on therapeutic interventions.

Similarly, although emotional support from paid staff may be available in the evolving consumer household, the goal is not to solely rely on increased emotional support but rather to gradually reduce the need for constant support and supervision.

Resolving crises within a shorter time period is an important aspect of care in any setting, but it is not specifically tied to the transition from a group home to an evolving consumer household. Crisis management skills and strategies can be addressed in various settings to ensure the client's well-being and safety.

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Correct Answer is C

Explanation

When creating a plan of care for a client experiencing a situational crisis, it is important to set measurable and obtainable goals that can guide the client's progress and provide clear indicators of achievement.

Considering the options provided, the most measurable and obtainable goal for the client experiencing a situational crisis would be:

The client will resume the pre-crisis level of functioning.

This goal is measurable as it involves assessing the client's functioning before the crisis and monitoring their progress in returning to that level. It is also obtainable as it focuses on restoring the client's previous abilities and skills, rather than relying on subjective or introspective factors. By setting specific criteria to determine the pre-crisis level of functioning and regularly evaluating the client's progress, the nurse can measure the client's achievement of this goal and adjust the plan of care accordingly.

The client will resume the pre-crisis level of functioning: Resuming the pre-crisis level of functioning is a measurable and obtainable goal. It involves identifying the client's previous level of functioning and working towards returning to that state. By assessing the client's functional abilities before the crisis and monitoring progress over time, it is possible to measure and track the extent to which they have regained their previous level of functioning.

The client will discover a new sense of self-sufficiency in coping: While this goal is important for the client's long-term growth and development, it is not easily measurable or obtainable in a specific timeframe. "Discovering a new sense of self-sufficiency" is a subjective and introspective process that may require extensive self-reflection and personal growth, making it difficult to measure and set a concrete timeline for achievement.

The client will express anger regarding the crisis event: Expressing anger can be a normal and healthy part of the healing process during a crisis. However, it is not necessarily the most

measurable or obtainable goal. The expression of anger can vary greatly among individuals, and it may not be an appropriate or necessary response for everyone. Additionally, the focus of the plan of care should extend beyond anger expression and encompass a broader range of emotions and coping strategies.

The client will identify possible causes for the crisis: While understanding the possible causes of the crisis can be an important part of the recovery process, it may not be the most measurable or obtainable goal on its own. Identifying the causes of a crisis can involve complex factors that may require professional assessment and a deeper exploration of the client's history and circumstances. It is more appropriate as an ongoing process within therapy rather than a specific goal with a clear endpoint.

A. “I can see you are anxious. Let's stop for a minute." B. “Use the deep breathing techniques we practiced yesterday." C. "What is the worst that will happen if you confront this fear?" D. “Tell me how you are feeling right now."

Correct Answer is B

Explanation

A. “I can see you are anxious. Let's stop for a minute."This option interrupts the exposure process. In systematic desensitization, the goal is to continue exposure while employing relaxation techniques, so stopping would not promote the gradual reduction of anxiety.

B. “Use the deep breathing techniques we practiced yesterday."This statement encourages the client to utilize a relaxation technique (deep breathing) while facing their fear, which is the core of systematic desensitization. By practicing relaxation in the presence of the feared stimulus, the client learns to associate the stimulus with calmness rather than anxiety.

C. "What is the worst that will happen if you confront this fear?"This option uses a form of cognitive restructuring, which is more aligned with cognitive-behavioral therapy (CBT) rather than systematic desensitization. This focuses on changing thought patterns rather than gradually exposing the person to their fear while inducing relaxation.

D. “Tell me how you are feeling right now."While it is important for the client to reflect on their feelings, this option does not promote relaxation or directly help the client manage their anxiety response during exposure. It focuses more on emotional processing rather than applying the desensitization technique.

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A client is being transferred from a group home to an evolving consumer household. The goal of this transition is for the client to eventually do what?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is creating a plan of care for a client experiencing a situational crisis. Which is the most measurable and obtainable goal for the client to achieve?

Correct Answer is C

Explanation

A nurse is assisting a client who is working on the technique of systematic desensitization. Which statement made by the nurse best uses the principle of technique?

Correct Answer is B

Explanation

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