A family is at their regular therapy session when their 16-year-old daughter, Ashley, says she is suicidal. Which of the following would be the best example of a straightforward directive delivered by their strategic therapist?
"Ashley, could it be that you want to hurt yourself because your boyfriend broke up with you?"
"Ashley, you seem to be saying that living is too painful."
"If Ashley threatens suicide this week, I want all of you — Ashley included — to stay home. No one should leave for the entire day."
"Could this be a family problem rather than just an issue for Ashley?"
The Correct Answer is C
Choice A reason: This statement is speculative and interpretive rather than directive. It attempts to explore Ashley’s motives but does not provide a clear behavioral instruction or intervention, which is characteristic of strategic therapy.
Choice B reason: This is a reflective statement that validates Ashley’s emotional experience. While it may be therapeutic in other modalities, it is not a directive and does not align with the strategic therapy approach, which emphasizes specific behavioral tasks.
Choice C reason: Strategic therapy often involves assigning tasks or directives that disrupt dysfunctional patterns and provoke change. This statement is a clear, structured directive aimed at altering the family’s response to suicidal threats. It engages all members in a behavioral intervention and reflects the strategic therapist’s goal of shifting systemic dynamics.
Choice D reason: This question invites reframing and exploration of systemic issues, which is consistent with family systems therapy but lacks the directive nature of strategic therapy. It does not instruct the family on a specific action to take.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: "Crossing the Quality Chasm" focuses on redesigning the health care system to improve quality and efficiency. It builds upon earlier findings but does not primarily identify the root causes of poor care and adverse outcomes.
Choice B reason: "To Err is Human" is the landmark IOM report that brought national attention to the prevalence of medical errors and their impact on patient safety. It identified systemic issues such as poor communication, lack of standardized procedures, and inadequate safety protocols as major contributors to adverse outcomes. This report catalyzed widespread efforts to improve patient safety and healthcare quality.
Choice C reason: "Health Professionals Education: A Bridge to Quality" emphasizes the need for reform in health professional education to improve care quality. While important, it does not focus on identifying the causes of poor care and adverse outcomes.
Choice D reason: "The Future of Nursing" outlines strategies for advancing the nursing profession and improving healthcare delivery. It focuses on leadership, education, and practice but does not specifically identify the root causes of poor quality care.
Correct Answer is D
Explanation
Choice A reason: Medicare Part A covers skilled nursing facility care for up to 100 days following a qualifying hospital stay. This includes rehabilitation and medically necessary services.
Choice B reason: Hospice care is covered under Medicare Part A for individuals certified as terminally ill, typically for up to 6 months, though extensions are possible based on continued eligibility.
Choice C reason: Inpatient hospital care is a core benefit of Medicare Part A, covering up to 90 days per benefit period, with additional lifetime reserve days available.
Choice D reason: Ambulatory services, such as outpatient visits and procedures, are covered under Medicare Part B—not Part A. Part A is limited to inpatient and facility-based care.
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