A 15-year-old girl has a 13-year-old brother with a diagnosis of ...

[crobinson2013]

A 15-year-old girl has a 13-year-old brother with a diagnosis of attention deficit/hyperactivity disorder (ADHD).
 
  The girl is highly reluctant to participate in family therapy, stating, He's the one that has the problem, not me and my parents How should the nurse best respond to the girl's statement?
  A) Actually, scientists have found that ADHD is usually caused by the person's family, so family therapy is very important.
  B) It's much easier for the therapist to communicate with the whole family together rather than individually.
  C) In family therapy, the therapist can teach you what part you can play in curing your brother's ADHD.
  D) When someone in the family has a mental health problem, it affects every person in the family.

Question 2

A recent nursing graduate is excited to begin a new job at a mental health resource center. Which of the following statements best describes one of the roles of the psychiatricmental health nurse working with children and teens?
 
  A) Performing regularly scheduled assessments of children who have mental health disorders and suggesting appropriate changes in medications
  B) Identifying the early signs and symptoms of mental health disorders and making appropriate referrals
  C) Identifying the underlying causes of mental health disorders and making appropriate DSM-IV-TR diagnoses
  D) Making independent decisions in situations where removal of a child from his or her family may be warranted

[kilada]

Answer to Question 1

Ans: D
Feedback:
The basic premise of family therapy is that the behavior of one member affects everyone else in the family. This does not mean, however, that the family can always cure the child. The goal of family therapy is not to assign blame or causation to family members in the development of the loved one's mental illness.

Answer to Question 2

Ans: B
Feedback:
Early identification and treatment are key to reducing the harm resulting from psychiatric disorders. Nurses play integral roles in detecting early symptoms, such as depression,
and referring children and families to appropriate services. DSM diagnosis, medication changes, and decisions regarding removal from the family are not within the normal scope of nursing practice.