During a family group therapy session, the nurse overhears the client telling her daughter, "You need to do better in school so I can love you as much as I love your brother." According to Warren, this statement discourages the development of positive self-esteem by hindering which parenting focus?

Reality orientation.

Unconditional love.

A sense of survival.

A sense of responsibility.

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Reality orientation is a technique commonly used in dementia care to help individuals be aware of time, place, and person. It is not directly related to the statement made by the client in the scenario about loving the daughter as much as the son based on academic performance.

Choice B rationale:

The correct choice. According to Eric Berne's theory of Transactional Analysis and Eric Erikson's psychosocial development stages, unconditional love is essential for fostering a positive sense of self-esteem. The statement made by the client to the daughter, linking love with better school performance, creates conditional love, implying that the daughter's worthiness of love is tied to her academic achievements. This can hinder the development of positive self-esteem.

Choice C rationale:

A sense of survival refers to basic human instincts related to self-preservation. It is not directly connected to the client's statement or the development of positive self-esteem in the context of parenting.

Choice D rationale:

A sense of responsibility involves understanding and fulfilling one's obligations. While it is important for parenting, the client's statement is more closely related to the concept of conditional love, which directly impacts self-esteem, as explained in choice B.

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Correct Answer is C

Explanation

Choice A rationale:

Bipolar disorder is a mood disorder characterized by alternating periods of depression and mania. While mental health issues can certainly be prevalent among the homeless population, bipolar disorder may not be the most prevalent in this context. Homelessness often exposes individuals to harsh living conditions, which might contribute to mood disturbances, but substance addiction is more commonly associated with this population.

Choice B rationale:

Depression is a significant concern among homeless individuals due to the many challenges they face, but substance addiction is generally more prevalent. Substance abuse often becomes a coping mechanism for dealing with the stressors of homelessness, making it a primary concern in this population.

Choice C rationale:

Substance addiction is a critical mental health issue that is highly prevalent among homeless individuals. The stress, trauma, and lack of stable support systems experienced by the homeless population contribute to a higher risk of substance abuse as a way to cope with their circumstances.

Choice D rationale:

Schizophrenia involves a disconnection from reality, including symptoms like hallucinations and delusions. While schizophrenia can certainly affect homeless individuals, substance addiction remains a more widespread concern due to its association with the challenges of homelessness.

A. Risperidone (Risperdal). B. Lithium carbonate (Eskalith). C. Disulfiram (Antabuse). D. Methadone (Methadose).

Correct Answer is D

Explanation

Choice A rationale:

Risperidone (Risperdal) is an atypical antipsychotic commonly used to manage symptoms of schizophrenia and bipolar disorder. It is not indicated for opioid withdrawal, making it an inappropriate choice.

Choice B rationale:

Lithium carbonate (Eskalith) is a mood stabilizer used primarily for bipolar disorder. It has no direct impact on opioid withdrawal symptoms, so it would not be the correct choice for managing opioid withdrawal.

Choice C rationale:

Disulfiram (Antabuse) is used to deter alcohol consumption by inducing unpleasant reactions when alcohol is consumed. It is not used to manage opioid withdrawal symptoms and is therefore not the correct choice.

Choice D rationale:

Methadone (Methadose) is a synthetic opioid agonist often used in medication-assisted treatment for opioid dependence and withdrawal. It helps alleviate withdrawal symptoms and cravings, promoting a smoother and safer withdrawal process.

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During a family group therapy session, the nurse overhears the client telling her daughter, "You need to do better in school so I can love you as much as I love your brother." According to Warren, this statement discourages the development of positive self-esteem by hindering which parenting focus?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The community health nurse recognizes that which of the following mental health issues is most prevalent in the homeless population?

Correct Answer is C

Explanation

A nurse is caring for a client who is withdrawing from opioids. Which of the following medications would the nurse prepare to administer?

Correct Answer is D

Explanation

A nurse is assessing an adolescent female client who has anorexia nervosa. Which of the following findings should the nurse expect?

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A nurse is performing an admission assessment on a client who has been diagnosed with schizophrenia. Which of the following findings should the nurse identify as a negative symptom?

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A nurse is caring for a client who has paranoid personality disorder. Which of the following findings should the nurse expect? (Select all that apply.).

A nurse is caring for a client diagnosed with a mental illness on a psychiatric unit. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?

A nurse is admitting an older adult client to the unit who has a suspected cognitive disorder. Which of the following inventories should be included as part of the admission assessment?