A family is talking with the nurse about the impact a ...

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A family is talking with the nurse about the impact a schizophrenic son has had on the family.
 
  The
  father mentions that his health insurance provides limited coverage for psychiatric hospitalization
  and even less coverage for outpatient treatment. Consequently, the family savings have been
  depleted over the past 2 years. The mother relates that she has had to quit her job to provide
  supervision for the son, who, if left to his own devices, brings drugs into the home, becomes violent,
  and destroys furniture. The client's younger sister mentions she feels lost because her parents are so
  focused on her brother that it seems as though they have no time for her. The topics discussed are
  called
  a. life cycle stressors.
  b. psychobiological issues.
  c. the family burden of mental illness.
  d. stigma associated with mental illness.

Question 2

The nurse working with a teen client who has become moody and withdrawn because her parents are
  divorcing will make the establishment of a therapeutic alliance a priority because
 
  a. focusing on the strengths of an individual increases the individual's self-esteem.
  b. the client should express feelings and not keep them inside.
  c. acceptance and trust convey feelings of security to the client.
  d. therapeutic activities provide an outlet for tension.

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Answer to Question 1

C
Family burden refers to the meaning that the experience of living with a mentally ill person has for
families. Option A: The stressors mentioned are not related to live cycle issues. Option B: The
stressors described are psychosocial in nature. Option D: Stigma refers to shame and ridicule
associated with mental illness.

Answer to Question 2

C
Trust is frequently an issue because the child or adolescent may never have had a trusting
relationship with an adult. In this client's situation, the trust she once had in her parents has been
shattered, robbing her of feelings of security. Only option C relates to the therapeutic alliance.