The nurse is meeting a family for the first time for family therapy. The husband/father is an accountant and is skeptical of the idea that talking can be helpful. The wife/mother is a teacher who states she is not skillful in conflict resolution. The daughter, age 15, is rebellious and in academic trouble. The son, age 17, is conflicted about where to attend college. According to family systems therapy who would be most likely to be listed as the 'identified patient"?

Wife/mother

Daughter

son

Husband/father

Answer and Explanation

The Correct Answer is B

Choice A Reason:

Wife/mother is incorrect. The wife/mother expresses that she is not skillful in conflict resolution, but her concerns are related to her own abilities rather than exhibiting specific problematic behaviors that are disruptive or distressing to the family system.

Choice B Reason:

Daughter is correct. The daughter, who is rebellious and in academic trouble, is most likely to be listed as the "identified patient" because her behavior is presenting visible challenges and concerns. In family systems therapy, addressing and understanding the dynamics surrounding the identified patient can provide insights into the broader family issues and interactions.

Choice C Reason:

Son is incorrect. The son is conflicted about where to attend college, which is a common developmental decision. While it may cause some family stress, it doesn't necessarily indicate the presence of disruptive or problematic behavior warranting the label of "identified patient."

Choice D Reason:

Husband/father is incorrect. The husband/father is skeptical of the idea that talking can be helpful, but skepticism or reluctance to engage in therapy does not necessarily make him the identified patient. His behavior doesn't present as a disruptive symptom within the family.

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Correct Answer is B

Explanation

Choice A Reason:

"How many in the group feel that Jack is ready to be discharged?” This response focuses on the group's opinion rather than addressing Jack's concerns directly. It may not provide the emotional support Jack needs.

Choice B Reason:

"Maybe others in the group have similar feelings.” This response acknowledges Jack's concerns, normalizes his feelings by suggesting that others might share similar concerns, and creates an opportunity for group members to express their thoughts and provide support. It fosters an open and empathetic group dynamic.

Choice C Reason:

"Jack, you ought to be happy that you are leaving." This response is dismissive of Jack's feelings and may invalidate his concerns. It lacks empathy and may hinder open communication.

Choice D Reason:

“Jack maybe you're not ready to be discharged.” While this response acknowledges Jack's fears, it assumes he is not ready without exploring his specific concerns. It might not encourage a constructive discussion about his readiness for discharge.

A. in the orientation phase B. On the working phase C. when the patient brings up the topic D. in the termination phase

Correct Answer is D

Explanation

Choice A Reason:

In the orientation phase is false. The orientation phase is focused on establishing rapport, building trust, and identifying the patient's needs and goals. It is too early to discuss termination during this phase.

Choice B Reason:

On the working phase is false. The working phase involves active problem-solving, goal attainment, and skill development. While progress is being made, it is not the appropriate time to introduce the topic of termination.

Choice C Reason:

When the patient brings up the topic is false. While it's important to be responsive to the patient's concerns, addressing the issue of termination solely based on the patient's initiation may not provide a comprehensive and planned discussion. The nurse should guide the conversation about termination at the appropriate time, considering the progress made in therapy.

Choice D Reason:

The termination phase is the final phase of the therapeutic relationship, and it involves discussing and planning for the conclusion of the therapeutic alliance. It provides an opportunity for the nurse and patient to reflect on the progress made, revisit goals, and discuss strategies for maintaining gains after the conclusion of the formal therapeutic relationship.

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Naxlex Comprehensive Predictor Exams

During a group meeting Jack, a patient, shares his fears around his impending discharge. The most appropriate response for the group leader would be?

Correct Answer is B

Explanation

During a therapeutic nurse-patient relationship, when would the nurse plan to first address the issue of termination?

Correct Answer is D

Explanation

A nurse is caring for a group of clients on a mental health unit. Which of the following actions should the nurse implement to establish therapeutic relationships with the clients?

A nurse working in a psychiatric unit plans to apply milieu therapy on a patient. Which intervention would the nurse include in the therapy?

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Peplau's Interpersonal Theory of Nursing: Select one:

Which statement describes the focus of psychiatric emergency care?

Which activity would happen first in the nurse-patient relationship?

Which is a characteristic of therapeutic milieu when caring for a patient in the psychiatric healthcare setting?

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