A nurse is describing the multicausal perspective of mental ...

[james0929]

A nurse is describing the multicausal perspective of mental health and illness to the parents of a child recently diagnosed with a spectrum disorder. Which statement would the nurse utilize when describing this approach?
 
  1. Exposure to drugs and alcohol has been associated with psychiatric disorders.
  2. The feedback mechanism appears dysfunctional, creating neurotoxic effects on brain development and function.
  3. The child's genetically determined attributes and life experiences interact to influence mental health outcomes.
  4. Early psychological trauma may create deficits or abnormalities in brain structure.

Question 2

During a staff meeting, a nurse makes the following remark about the clients on the unit, These clients are just trying to avoid the problems of life. They just need to go out and work.
 
   Which of the following responses best demonstrates the charge nurse's respectful attitude toward this nurse? 1. I agree that most clients are just avoiding life, but our mission is to provide care.
  2. It is not our responsibility to determine whether clients have problems or not.
  3. You seem to be having trouble accepting the fact that clients can lose emotional control of their lives. Why don't we talk about this as a group?
  4. When you say that our clients are just avoiding life problems, it sounds like you are frustrated by the needs our clients express. Am I hearing you correctly?

[phuda]

Answer to Question 1

3
Rationale: The child's genetically determined attributes and life experiences interacting to influence mental health outcomes explains the perspective of the multicausal model of mental health and illness. Discussing feedback mechanism dysfunction would provide a partial explanation of neuroendocrine reactivity. Discussing the effects of early psychological trauma on brain structure partially explains nervous system responsiveness. Discussing the association of exposure to drugs and alcohol to psychiatric disorders partially explains complications occurring during the perinatal period as a cause of some mental illnesses.

Answer to Question 2

4
Rationale: Restating what the nurse has said and asking if that is a correct understanding allows the charge nurse to maintain a respectful attitude by taking the time and energy to listen to and understand the colleague's experience. Suggesting that the nurse has trouble with clients who lose control and asking to talk about it as a group makes an assumption and threatens the nurse's self-esteem. Stating that it is not a responsibility of the staff to determine whether clients have problems fails to address the nurse's concerns. Agreeing with the nurse's opinion does not demonstrate honesty or integrity when addressing difficult issues with colleagues.

[james0929]

Correct answers!

[phuda]

Great! Please up vote