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 D

Explanation

Choice A reason:

Lithium carbonate (Eskalith) is primarily used to treat bipolar disorder and is not indicated for opioid withdrawal. It helps to stabilize mood and prevent the recurrence of mania or depression.

Choice B reason:

Disulfiram (Antabuse) is used as a supportive therapy for treating chronic alcoholism. It acts by causing an unpleasant reaction when alcohol is consumed, thus deterring the individual from drinking.

Choice C reason:

Risperidone (Risperdal) is an antipsychotic medication used to treat schizophrenia and bipolar disorder. It is not used for opioid withdrawal and does not have any effects on opioid receptors.

Choice D reason:

Methadone (Methadose) is an opioid agonist that is used as a replacement therapy in opioid dependence. It helps to reduce withdrawal symptoms and cravings associated with opioid withdrawal. Methadone's long half-life allows for once-daily dosing, which can be beneficial in managing withdrawal symptoms effectively.

A. "How long has this been going on?" B. "It sounds like you're having a difficult time." C. "Why do you think you are so anxious?" D. "Have you talked to your parents about this yet?"

Correct Answer is B

Explanation

Choice A Reason:

Asking "How long has this been going on?" is a relevant question that can help the nurse understand the duration of the client's anxiety and concentration issues. However, it may not immediately provide the empathetic connection that can encourage the client to open up more about their feelings.

Choice B Reason:

"It sounds like you're having a difficult time" is an empathetic statement that acknowledges the client's distress and can help establish rapport. This response validates the client's feelings and invites them to share more about their experience, which is essential in forming a therapeutic nurse-client relationship.

Choice C Reason:

"Why do you think you are so anxious?" could prompt the client to reflect on possible causes of their anxiety, but it might also be perceived as confrontational or accusatory. It's important for the nurse to create a nonjudgmental atmosphere that encourages open communication.

Choice D Reason:

"Have you talked to your parents about this yet?" assumes that the client's parents are part of their support system and that the client is willing or able to discuss their anxiety with them. This question might not be appropriate for all clients, especially if family relationships are a source of stress.

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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?

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Correct Answer is B

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