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Author Question: The spouse of a patient with schizophrenia says, I don't understand how nurturing or toilet training ... (Read 21 times)

Bob-Dole

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The spouse of a patient with schizophrenia says, I don't understand how nurturing or toilet training in childhood has anything to do with this incredibly disabling illness.
 
  Which response by the nurse will best help the spouse understand this disorder?
  a. This illness is the result of genetic factors.
  b. Psychological stress is at the root of most mental disorders.
  c. It must be frustrating for you that your spouse is sick so much of the time.
  d. New findings show that this condition more likely has biological rather than psychological origins.

Question 2

A nurse assigns a client the nursing diagnosis of complicated grieving. According to Bowlby, which long-term outcome would be most appropriate for this nursing diagnosis?
 
  1. The client will accomplish the recovery stage of grief by year one.
  2. The client will accomplish the acceptance stage of grief by year one.
  3. The client will accomplish the reorganization stage of grief by year one.
  4. The client will accomplish the emotional relocation stage of grief by year one.



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babybsemail

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Answer to Question 1

D
Many of the most prevalent and disabling mental disorders have strong biological influences. Genetics are only one part of biological factors. Empathy does not address increasing the spouse's level of knowledge about the cause of the disorder. The other distracters are not established facts.

Answer to Question 2

3
Rationale: The nurse should identify that, according to Bowlby, an appropriate long-term outcome for this client is to accomplish the reorganization stage of grief by year one. Until the client can recognize and accept personal feelings regarding the loss, grief work cannot progress. The reorganization stage of grieving is the final stage in which the individual accepts the loss and new goals and patterns are established.





 

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