A married couple is scheduled for family therapy, but only the wife shows up for the appointment. What is the most appropriate action?
Discharge the couple.
Reschedule the appointment for a time when both members of the couple can be present.
See the wife now and see the spouse separately, when available.
Tell the wife you will only see her, since her spouse is not serious about therapy.
The Correct Answer is B
Choice A reason: Discharging the couple prematurely may hinder therapeutic engagement and does not reflect best practice in family therapy.
Choice B reason: Rescheduling ensures that both partners are present, which is essential for effective family therapy. It respects the therapeutic framework and promotes balanced participation.
Choice C reason: Seeing individuals separately may be appropriate in some contexts but is not ideal for initial family therapy sessions where joint dynamics are the focus.
Choice D reason: Making assumptions about the spouse’s commitment without direct communication is inappropriate and may damage rapport.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Jean Watson is known for the Theory of Human Caring, which emphasizes the spiritual and emotional dimensions of nursing care, not interpersonal relationships.
Choice B reason: Dorothy Orem developed the Self-Care Deficit Nursing Theory, which focuses on the individual's ability to care for themselves and the nurse's role in supporting that capacity.
Choice C reason: Madeline Leininger is recognized for her Transcultural Nursing Theory, which integrates cultural understanding into nursing practice.
Choice D reason: Hildegard Peplau is the founder of the Theory of Interpersonal Relationships in nursing. Her model emphasizes the therapeutic relationship between nurse and patient as central to psychiatric nursing and includes phases such as orientation, identification, exploitation, and resolution.
Correct Answer is A
Explanation
Choice A reason: This statement is open-ended, collaborative, and empathetic. It invites the client to share concerns while positioning the PMHNP as a supportive partner. It fosters trust and sets the tone for a therapeutic alliance.
Choice B reason: This question is direct but may feel clinical or impersonal. It focuses on problems rather than the client’s experience or goals, which may hinder rapport-building.
Choice C reason: While commonly used, this question can be vague and may not encourage deeper reflection or engagement. It lacks the collaborative tone of choice A.
Choice D reason: This question is goal-oriented and useful for structuring the session, but it may be premature for a first meeting. It assumes the client has clear expectations, which may not be the case.
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