Author Question: When including a 12-step program in a client's plan of care, the nurse can expect that stress ... (Read 18 times)

tnt_battle · **on:** Jul 19, 2018

When including a 12-step program in a client's plan of care, the nurse can expect that stress
mediators will include (more than one answer may be correct)

A. social support.
B. spiritual support.
C. professional therapy.
D. health-sustaining habits.

Question 2

The nurse can anticipate that the mourning process will be more difficult when the bereaved

a. was relatively independent of the deceased.
b. had few unresolved conflicts in the relationship with the deceased.
c. has a good support system with meaningful relationships evident.
d. has experienced a number of previous losses.

mistyjohnson · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS:
A, B, D
Rationale: A 12-step program is a self-help program. Professional therapists do not provide the
therapy; members do. Twelve-step programs provide social support in meetings and the sponsor
program; spiritual support, as evidenced in the 12 steps; and health-sustaining habits such as
abstinence from substances of abuse, pacing one's activities, and getting enough sleep. The 12-step
programs rely on self-help principles rather than professional therapists.

Answer to Question 2

D
The following factors have negative effects on the mourning process: high dependency on the
deceased, ambivalence toward the deceased, a poor or absent support system, a high number of past
losses or other recent losses, poor physical or mental health, and young age of the deceased. Data do
not support the other options.