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?

Choice A reason:

Expecting a child with ASD to communicate all needs verbally by discharge may not be realistic, as communication challenges are a core feature of ASD. Some individuals with ASD may never develop verbal communication skills and may rely on alternative methods of communication.

Choice B reason:

Participation in team sports may be challenging for a child with ASD due to difficulties with social interaction and sensory processing. While some children with ASD may enjoy and excel in sports, expecting participation in a team sport by day 4 may not account for the individual needs and preferences of the child.

Choice C reason:

Establishing trust with a caregiver is an important goal, but the timeframe of 5 days may be too short. Building trust can take time, especially for children with ASD who may have difficulty with new relationships and changes in their environment.

Choice D reason:

Focusing on self-care tasks is a realistic and practical goal for a child with ASD. With appropriate support and interventions, many individuals with ASD can learn to perform self-care tasks independently, although the level of independence will vary based on the individual's abilities and needs.

Choice A reason:

A client who has been taking amitriptyline for depression and is stable on medication for 3 months could benefit from group therapy. Group therapy provides a supportive environment where individuals can share experiences and coping strategies, which can be particularly beneficial for those with depression. It can help them feel less isolated and more understood by connecting with others facing similar challenges.

Choice B reason:

A client exhibiting psychotic behavior may not be the best candidate for group therapy until their symptoms are well-managed. Group settings could potentially exacerbate paranoia or delusions if the individual is not yet stable. It's important for such clients to receive individual therapy to manage their symptoms before transitioning to a group setting.

Choice C reason:

A client experiencing alcohol intoxication would need to be medically stable and sober before participating in group therapy. Intoxication can impair judgment and disrupt the group process, making it less effective for the individual and other group members. Detoxification and individual counseling might be more appropriate initial steps.

Choice D reason:

A client admitted 12 hours ago for acute mania is likely not in a state to benefit from group therapy. The high energy and potential impulsivity associated with acute mania could be disruptive in a group setting and the individual may require stabilization first. Once the mania is under control, group therapy could be considered as part of ongoing treatment.