One of the goals of a therapeutic community is for patients to become more autonomous and accept self-responsibility. Which option below best encourages fulfillment of this goal?
Require the patient to be on time and dressed for daily breakfast
insist each patient take a turn in the community as a leader
Include the patient's input in the treatment plan.
Make the treatment plan decisions for the patient.
The Correct Answer is C
Choice A Reason:
Requiring the patient to be on time and dressed for daily breakfast is inappropriate. While punctuality and self-care are important, requiring these behaviors doesn't necessarily encourage the patient to take responsibility for their overall treatment plan.
Choice B Reason:
Insisting each patient take a turn in the community as a leader is inappropriate. While leadership roles can be beneficial, insisting may feel coercive. Autonomy is better promoted when patients have a choice in taking on leadership roles.
Choice C Reason:
Including the patient's input in the treatment plan is appropriate. Including the patient's input in the treatment plan is a strategy that promotes autonomy and self-responsibility. It recognizes the patient as an active participant in their own care and empowers them to be involved in decisions about their treatment.
Choice D Reason:
Making the treatment plan decisions for the patient is inappropriate. Making decisions for the patient contradicts the goal of autonomy and self-responsibility. It disempowers the patient and may hinder their engagement in the treatment process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Differentiation is incorrect. Differentiation refers to the ability of family members to maintain their individuality while remaining emotionally connected. It is not directly related to involving a third person in conflicts.
Choice B Reason:
Scapegoating is incorrect. Scapegoating involves blaming one family member for the family's problems. While this can be a dysfunctional family dynamic, it is not specifically about involving a third person in conflicts.
Choice C Reason:
Double Binding is incorrect. Double binding involves conflicting messages that create a no-win situation for the recipient. It does not specifically involve the inclusion of a third person in conflicts as observed in the given scenario.
Choice D Reason:
Triangulation is correct. Triangulation in family systems therapy occurs when a third person, often a child, is involved in the conflicts between two other family members. In this scenario, Kate is venting her frustrations to her younger son, which creates a triangle or three-person dynamic in the family system. Triangulation can serve as a way for family members to stabilize their relationships by shifting the focus or tension onto a third party.
Correct Answer is ["B","C","D","E"]
Explanation
Choice A Reason:
The coping skills (Choice A) may be observed and assessed as part of the broader clinical picture, but they are not typically specific components of a formal Mental Status Examination.
Choice B Reason:
Ability to perform calculations. This assesses the client's cognitive abilities, specifically related to mathematical reasoning and problem-solving.
Choice C Reason:
Recall ability. Assessing recall ability helps evaluate the client's short-term memory, which can be impaired in individuals with dementia.
Choice D Reason:
Long-term memory. Evaluating long-term memory provides insights into the client's ability to recall information from the distant past, which is another aspect of cognitive function.
Choice E Reason:
Level of orientation. Assessing orientation to time, place, and person is crucial in understanding the client's awareness of their surroundings and current circumstances, which can be affected in dementia.
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