Pediatric mental health patients who have experienced a high ...

[schs14]

Pediatric mental health patients who have experienced a high level of psychological pain are often unable or unwilling to communicate feelings. This is referred to as:
 
  1. Alexithymia.
   2. Anhedonia.
   3. Defiance.
   4. Depersonalization.

Question 2

The caregivers of a child with a chronic health condition say they are feeling frustrated and like professionals are discounting their expertise. The nurse will help them resolve this problem by teaching them to:
 
  a. directly express frustration and confront the discounting of their expertise with I statements such as, When you (do a specific thing or say a specific thing) I feel like. . .
 b. change health care providers until they find a health care team that will treat them as experts and partners in the care of their child
  c. ignore these feelings, as the health care team does not mean to discount their expertise and knows that they are experts in the care of their child
  d. listen to the health care professionals, say nothing, and do whatever they (the caregivers) feel is best regardless of what the health care professionals suggest

[popopong]

Answer to Question 1

1
Feedback
1. Alexithymia translates as I have no words for my feelings, and occurs as the result of a high level of psychiatric pain, especially when the patient feels like he/she is unable or unwilling to communicate feelings.
2. Anhedonia is the lack of pleasure from an activity.
3. Defiance is open disobedience.
4. The patient is watching the act that he/she is doing and does not realize he/she is the cause.

Answer to Question 2

A

Feedback
A Correct: The nurse will help these caregivers resolve this problem by teaching them to directly express frustration and confront the discounting of their expertise with I statements such as, When you (do a specific thing or say a specific thing) I feel like . . . Caregivers report that relationships with professionals can be helpful and harmful. They are harmful then the professional disregards or discounts the caregivers' knowledge and abilities.
B Incorrect: The nurse will not help these caregivers resolve this problem by teaching them to change health care providers until they find a health care team that will treat them as experts and partners in the care of their child.
C Incorrect: The nurse will not help these caregivers resolve this problem by teaching them to ignore these feelings, as the health care team does not mean to discount their expertise and knows that they are experts in the care of their child. Professionals need to be relational and validate caregivers' feelings.
D Incorrect: The nurse will not help these caregivers resolve this problem by teaching them to listen to the health care professionals, say nothing, and do whatever they (the caregivers) feel is best regardless of what the health care professionals suggest. Professionals need to establish a collaborative interaction style with caregivers by acknowledging their expertise, role, and concerns.

[schs14]

Thank you

[popopong]

Happy to help you