A nursing instructor is teaching students about self-help groups like Alcoholics Anonymous. (A). Which student statement indicates that learning has occurred?

"Self-help groups are run by members and do not have a formal leader."

"Providing education to members is the purpose of self-help groups."

"Self-help groups have professionals lead the formal groups."

“Confidentiality of the members is not an expectation with self-help groups."

Answer and Explanation

The Correct Answer is A

A. "Self-help groups are run by members and do not have a formal leader.": This statement indicates that learning has occurred because it accurately describes a key characteristic of self-help groups like Alcoholics Anonymous. These groups are typically organized and run by members themselves, with no formal leadership structure.

B. "Providing education to members is the purpose of self-help groups.": While education and support are often components of self-help groups, their primary purpose is typically to provide mutual support and encouragement among members who share a common issue or concern, such as addiction. This statement does not fully capture the primary purpose of self-help groups.

C. "Self-help groups have professionals lead the formal groups.": This statement is incorrect because self-help groups are generally peer-led, with members supporting each other rather than being led by professionals.

D. “Confidentiality of the members is not an expectation with self-help groups.": This statement is also incorrect. Confidentiality is a crucial aspect of self-help groups, where members are expected to respect each other's privacy and keep discussions within the group confidential.

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Correct Answer is D

Explanation

A. Akathisia: Akathisia is a side effect of antipsychotic medications characterized by restlessness, agitation, and a strong urge to move. It is not typically associated with tongue protrusion, lip smacking, or rapid eye blinking.

B. Neuroleptic malignant syndrome: Neuroleptic malignant syndrome is a rare but serious reaction to antipsychotic medications, characterized by fever, muscle rigidity, altered mental status, and autonomic dysfunction. It is not associated with the specific symptoms described in the scenario.

C. Dystonia: Dystonia is a movement disorder characterized by sustained or repetitive muscle contractions, leading to abnormal postures or repetitive movements. It can occur as a side effect of antipsychotic medications but typically presents differently from the symptoms described in the scenario.

D. Tardive dyskinesia: Tardive dyskinesia is a chronic syndrome characterized by involuntary, repetitive movements of the face, tongue, and other body parts. It is associated with long-term use of conventional, first-generation antipsychotic medications. Symptoms can include tongue protrusion, lip smacking, rapid eye blinking, and other abnormal movements.

A. Identifying possible solutions for the client's problems B. Encouraging the client to clarify feelings and behavior C. Referring the client to a self-help group D. Comparing past and present coping strategies

Correct Answer is B

Explanation

A. Identifying possible solutions for the client's problems:
While identifying possible solutions is an important aspect of problem-solving and goal-setting in therapy, it is not the primary focus during the working phase of a therapeutic relationship. The focus is more on exploring and understanding the client's problems, feelings, and behaviors before moving on to generating and evaluating potential solutions.

B. Encouraging the client to clarify feelings and behavior.
During the working phase of a therapeutic relationship, the nurse's role is to facilitate the exploration of the client's problems, emotions, thoughts, and behaviors. Encouraging the client to clarify their feelings and behaviors helps them gain insight into their challenges, triggers, and coping mechanisms, which is essential for problem exploration and resolution. This action promotes self-awareness, reflection, and deeper understanding of the issues at hand, leading to more meaningful discussions and therapeutic progress.

C. Referring the client to a self-help group:
Referring the client to a self-help group can be beneficial for ongoing support, peer connection, and learning from others' experiences. However, during the working phase of a therapeutic relationship, the emphasis is on individual exploration, understanding, and processing of problems within the therapeutic context before considering external resources like self-help groups.

D. Comparing past and present coping strategies:
Comparing past and present coping strategies can provide valuable insights into the client's progress, strengths, and areas for growth. However, this action is more relevant to the assessment and evaluation phases of therapy rather than the working phase focused on exploring and addressing current problems and challenges.

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A nursing instructor is teaching students about self-help groups like Alcoholics Anonymous. (A). Which student statement indicates that learning has occurred?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is being seen in the mental health clinic. The client has been on a conventional, first-generation antipsychotic for 8 months and is now exhibiting tongue protrusion, lip smacking, and rapid eye blinking. A nurse would document this chronic syndrome as:

Correct Answer is D

Explanation

A nurse is caring for a client in a mental health setting. During the working phase of a therapeutic relationship, which action by the nurse would best help the client to explore problems?

Correct Answer is B

Explanation

A client asks the nurse how long it will take before the selective serotonin reuptake inhibitor (SSRI) antidepressant medication will be effective. Which reply is most accurate and therapeutic?

The nurse Is preparing to give a medication to a client with depression. The order is for Desipramine 100 mg PO. The nurse has Desipramine 125 mg/5 ml available. How many mL will the nurse give? A calculator is activated within your exam. Enter numeric value only. Do not label.

A nurse explains to the family of a patient who is mentally ill how the nurse-patient relationship differs from social relationships. which is the best explanation?

A nursing student is learning about the various types of treatment settings for clients with mental health disorders. Which client is suitable for psychiatric transitional care services?

During a session with a client, the client asks the nurse what the client should do about the client's "cheating" spouse. The nurse replies. "You should divorce. You deserve better than that." The nurse used which nontherapeutic communication technique?

A nurse and client are engaged in a discussion. The client says, "I feel really close to you. You are the only true friend I have." Which response by the nurse would be most therapeutic?

A new nurse tells a mentor, "I want to convey to my clients that I am interested in them and that I want to listen to what they have to say." Which behaviors are helpful in meeting the nurse's goal? Select all that apply.