According to Bowen's theoretical approach to therapy, which of the following should the nurse recognize as a concept of a functional family interaction pattern?

Marital skew

Sibling position

Double-bind communication

Pseudomutuality

Answer and Explanation

The Correct Answer is B

Choice A Reason:

Marital skew refers to a situation where one partner in a marriage dominates the relationship, leading to an imbalance of power. This concept is not directly related to Bowen's theory of functional family interaction patterns. Instead, it is more associated with family dynamics that can lead to dysfunction rather than functionality.

Choice B Reason:

Sibling position is a concept within Bowen's family systems theory that suggests the order in which children are born in a family can influence their roles and behaviors within the family system. Bowen believed that understanding sibling positions can help in predicting certain family dynamics and interactions. For example, first-born children might take on more leadership roles, while later-born children might be more rebellious or independent. Recognizing these patterns can help in understanding and improving family interactions.

Choice C Reason:

Double-bind communication refers to a situation where a person receives two or more conflicting messages, with one message negating the other. This can create confusion and stress, as the person cannot resolve the contradiction. While this concept is important in understanding dysfunctional communication patterns, it is not a concept of functional family interaction in Bowen's theory.

Choice D Reason:

Pseudomutuality is a term used to describe a family dynamic where there is a false appearance of harmony and mutual understanding. This facade hides underlying conflicts and issues that are not addressed. Pseudomutuality is indicative of dysfunction rather than a functional family interaction pattern according to Bowen's theory.

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Correct Answer is ["B","C","D","E"]

Explanation

Choice A Reason:

Weighing the client every 3 to 4 days is not typically a priority intervention for managing acute mania. While it's important to monitor for significant weight changes, the focus should be on more immediate concerns related to the manic state.

Choice B Reason:

Discouraging naps during the day can help regulate the client's sleep patterns. Sleep disturbances are common in mania, and establishing a routine that promotes adequate nighttime sleep is beneficial. It helps in reducing the hyperarousal state and stabilizing mood.

Choice C Reason:

Monitoring vital signs throughout the day is essential, as mania can lead to physical overactivity and increased metabolic demands. This can affect cardiovascular and thermoregulatory systems, necessitating close observation.

Choice D Reason:

Offering nutritional foods every 2 hours can help meet the increased metabolic demands during a manic episode. Clients may neglect nutrition due to hyperactivity or distractibility, so regular, balanced meals or snacks are important.

Choice E Reason:

Maintaining an environment with low stimuli is crucial in managing mania. Overstimulation can exacerbate symptoms such as restlessness, agitation, and distractibility. A calm environment helps in reducing sensory overload and can aid in the stabilization of the client's mood.

A. "You will need your blood levels drawn weekly during the first month." B. "You will need to stop this medication if you develop severe diarrhea." C. "You will need to take this medication on an empty stomach." D. "You will need to consume a low-salt diet while on this medication."

Correct Answer is A

Explanation

Choice A Reason:

Monitoring blood levels of lithium is essential, especially during the initial phase of treatment. Lithium has a narrow therapeutic range, and its levels can fluctuate based on several factors, including diet, hydration, and renal function. Regular blood tests help ensure that the lithium concentration stays within the therapeutic range, preventing toxicity or subtherapeutic dosin.

Choice B Reason:

While it is important to monitor for side effects such as severe diarrhea, stopping the medication abruptly without consulting a healthcare provider is not recommended. Severe diarrhea can affect lithium absorption and lead to dehydration, which may necessitate a dosage adjustment rather than complete cessation.

Choice C Reason:

Lithium is typically taken with meals to reduce gastrointestinal side effects, not on an empty stomach. Taking lithium on an empty stomach can increase the risk of nausea, diarrhea, and other gastrointestinal issues.

Choice D Reason:

Patients on lithium are advised to maintain a consistent intake of sodium. A low-salt diet can lead to increased lithium retention, which can increase the risk of toxicity. Therefore, patients should not consume a low-salt diet unless advised by their healthcare provider for other medical reasons.

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According to Bowen's theoretical approach to therapy, which of the following should the nurse recognize as a concept of a functional family interaction pattern?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is creating a plan of care for a client who is experiencing mania. Which of the following interventions should the nurse include in the plan? (Select all that apply.)

Correct Answer is ["B","C","D","E"]

Explanation

A nurse is preparing to teach a client about the prescription of lithium (Eskalith) for the treatment of bipolar disorder. Which of the following statements should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is reviewing the history and physical of an adolescent client diagnosed with conduct disorder. The nurse recognizes that which of the following is an expected assessment finding of conduct disorder?

A nurse in an acute care mental health facility is assessing a client who has bipolar disorder. The nurse recognizes that which of the following findings indicates the client is at risk for suicide?

A nurse is caring for a client who is refusing to attend group therapy. The client states, "I don't know why you think I need therapy. I am fine without it." Which of the following responses by the nurse indicates a therapeutic response?

A nurse in a psychiatric unit is caring for several clients. Which of the following clients should the nurse recommend for group therapy?

A nurse is taking care of a client who is cognitively impaired. The nurse recognizes that which of the following rooms will provide a therapeutic environment for this client?

Which of the following findings should a nurse expect when assessing a client with illness anxiety disorder?

A nurse on an inpatient mental health unit is admitting a client who has panic-level anxiety. After orienting the client to his room, which of the following nursing actions is most therapeutic at this time?