The student nurse asks if advance practice training is needed to ...

[lbcchick]

The student nurse asks if advance practice training is needed to lead psychoeducation groups and assist families. The instructor tells the nurse that all nurses can lead the groups as long as they:
 
  1. Support a loss of autonomy.
  2. Promote rigidity and chaos.
  3. Understand family and group dynamics.
  4. Isolate family members from one another.

Question 2

The client with binge-eating disorder reports a lack of involvement in activities, loss of interest in self-care activities, and oversleeping. The client's speech is filled with despondency.
 
  What nursing diagnosis is most appropriate for this client? 1. Hopelessness
  2. Anxiety
  3. Social Isolation
  4. Knowledge Deficit

[thall411]

Answer to Question 1

3
Rationale: Nurses have long been involved in working with clients and their families in small groups brought together for health teaching, psychoeducation, or supportive purposes. All nurses, regardless of level of education, can lead therapeutic groups or psychoeducation groups, and all nurses can assist families, as long as they understand and apply group and family dynamics in their interventions.

Answer to Question 2

1
Rationale: Clients who compulsively overeat frequently experience feelings of hopelessness related to repeated failure to lose weight or to control their eating behavior. The client should be screened for depression, anxiety, and other comorbid psychological disorders. There is no data in the scenario to suggest a diagnosis of Anxiety, Knowledge Deficit, or Social Isolation.

[lbcchick]

Excellent

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TYSM