The nurse therapist assessing a family system perceives the ...

[nenivikky]

The nurse therapist assessing a family system perceives the family to be enmeshed and determines
  that family members have little sense of individuality. A desirable outcome is that members will
 
  a. form groups of three to reduce anxiety.
  b. become more differentiated regarding values and beliefs.
  c. become comfortable adhering to family norms and rules.
  d. form two subgroups: the most capable and least capable members.

Question 2

The sleep record of a client with major depression shows the client waking at 3 AM and being unable
  to resume sleep.
 
  The physician decides to prescribe the client a serotonin-reuptake inhibitor and
  additionally orders a sleep-deprivation protocol. The outcome expected is
  a. self-control of suicidal ideation.
  b. rapid response to the antidepressant.
  c. self-control of auditory hallucinations.
  d. increased anxiety self-control.

[djofnc]

Answer to Question 1

B
Enmeshment results from high anxiety that keeps members emotionally bound to each other and
unable to define individual values and beliefs. To define individual values and beliefs would mark
progress in differentiation. Triangulation (option A) and subgrouping (option D) are not desirable.
Option C: The members already adhere to the family norms and rules.

Answer to Question 2

B
Recent studies have shown that sleep deprivation has proven effective in speeding response to
antidepressant medication and to improving sleep pattern. Sleep deprivation has not shown
effectiveness in providing direct control of suicidal ideation, auditory hallucinations, or symptoms of
anxiety.