An adult client with paranoid schizophrenia lives in a homeless shelter with her 13-year
old-daughter. The mother is fragile but not psychotic most of the time.
The nurse establishes a
relationship with the daughter and determines that the child has adapted to shelter life, having
formed a relationship with one of the shelter volunteers who encourages her to attend school. The
teen relates that she has a friendship with a classmate. When she describes this relationship, the
nurse determines that the teen is able to exercise both social skills and problem-solving skills. The
mobile treatment team asks the nurse to make a recommendation regarding what should be done to
assist the teenage daughter. The best recommendation would be to
a. suggest foster home placement.
b. seek assistance from the domestic violence program.
c. make referrals for existing and emerging developmental problems.
d. foster healthy characteristics and existing environmental supports.
Question 2
A client accompanied her boyfriend to the emergency department after the two had been in a
motorcycle accident. The boyfriend was badly hurt, but the client had only minor cuts and bruises
and was discharged.
She mentioned to the nurse that since she was driving, she should have been the
one to be injured. Twenty-four hours later, while visiting her boyfriend, the client reported that she
was unable to move from her chair and unable to walk. Diagnostic workup revealed no physical
reason for the problem. The anxiety relief behavior the client is demonstrating is
a. acting out.
b. somatization.
c. withdrawal.
d. problem solving.
