A woman tells the BSN-prepared community health nurse that she ...

[joe]

A woman tells the BSN-prepared community health nurse that she and her son fight all the time
  since the son started using drugs. The son tells his mother when she counsels against drug use that
  his drug use is none of her business.
 
  The most effective nursing intervention would be to
  a. arrange drug detoxification and rehabilitation for the son.
  b. provide family therapy for both son and mother.
  c. turn the son in to the police.
  d. arrange a referral to a family counselor.

Question 2

Three members of the therapy group share covert glances as other members of the group bring up
  problems. One of them often makes a statement that subtly puts down another speaker or takes
  exception to a comment by the group leader.
 
  The others then nod in agreement. The group leader
  should suspect the occurrence of
  a. cohesiveness.
  b. confrontation.
  c. subgrouping.
  d. countertransference .

[dajones82]

Answer to Question 1

D
A BSN-prepared nurse is not able to conduct family therapy but can determine the need for referral
to counseling. Option A is premature. Option C is not a nursing intervention.

Answer to Question 2

C
Subgrouping occurs when a small group is isolated within a larger group and functions separately,
having more loyalty to the subgroup than to the larger group. Option A: Cohesiveness refers to the
togetherness of the group. In this case the group lacks cohesion. Option B: Confrontation refers to
questioning a member in a challenging, yet supportive, way. Option D: Countertransference refers to
the therapist's reaction to a group member.