Author Question: A client with a diagnosis of bipolar disorder lives with his family and discontinues taking ... (Read 74 times)

codyclark · **on:** Jul 19, 2018

A client with a diagnosis of bipolar disorder lives with his family and discontinues taking medication when he begins feeling his symptoms are under control.

Family members express their concern to the client's therapist whenever they realize the client is off his meds. The therapist understands that within the client's family, each person's behavior is contingent on and: 1. Reflects the characteristics of the client's family.
2. Affects the behavior of others.
3. Is affected by the functionality of the group.
4. Is reflective of the client's mental illness.

Question 2

The nurse conducts ongoing evaluation of the crisis situation to ensure the client's right to the least restrictive intervention. This means the assessment factor receiving the highest priority is:

1. The client's condition in comparison to the adequacy of the environment designed to prevent injury.
2. The client's mental status.
3. The clientstaff ratio.
4. The comfort level of the environment.

parker125 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

2
Rationale: Whether they are functional or dysfunctional, families have certain characteristics and dynamics. In a family, each person's behavior is contingent on and affects the behavior of the others. Family members' behavior is not necessarily reflective of the client's mental illness. Each family member's behavior affects the behavior of others, which may, in turn, reflect the characteristics of the family as a whole. The functionality of the group does not address family relationships.

Answer to Question 2

1
Rationale: Decisions that impact the client's individual freedom are moral decisions. There must be consideration of what other interventions were attempted and what possibly could work, whether the client's behavior warrants a particular level of restrictive intervention, and how the level of the intervention will affect the client and the milieu. The clientstaff ratio will not be a priority in determining the level of intervention. The client's mental status will be considered in conjunction with the environment. The comfort level of the milieu will not be a priority.