The client tells the nurse I get into trouble because I have ...

[madam-professor]

The client tells the nurse I get into trouble because I have hair-trigger responses. I shoot from the
  hip. Lots of times that gets me into a mess.. A therapeutic response would be
 
  a. Let's consider the advantages of being able to stop and think before acting..
  b. It sounds as though you've developed some insight into your situation..
  c. I'll bet you have some interesting stories to share about overreacting..
  d. It's good that you're showing readiness for behavioral change..

Question 2

A client with anorexia nervosa is particularly resistant to the idea of weight gain.
 
  What is the
  rationale for establishing a contract with the client in which she agrees to participate in measures
  designed to produce a specified weekly weight gain?
  a. Because severe anxiety concerning eating is to be expected, objective and
  subjective data must be routinely collected.
  b. A team approach to planning the diet ensures that physical and emotional needs
  will be met.
  c. Client involvement in decision making increases sense of control and promotes
  compliance with treatment.
  d. Because of increased risk of physical problems with refeeding, client permission
  is essential.

[macmac]

Answer to Question 1

A
The client is showing openness to learning techniques for impulse control. One technique is to teach
the client to stop and think before acting impulsively. The client can then be taught to evaluate
outcomes of possible actions and choose an effective action. Option B is pseudotherapeutic. Option
C shifts the encounter to a social level. Option D is judgmental.

Answer to Question 2

C
A sense of control for the client is vital to the success of therapy. A diet that controls weight gain
can allay client fears of too-rapid weight gain. Option A: Data collection is not the reason for
contracting. Option B: A team approach is wise but is not a guarantee that needs will be met. Option
D: Permission for treatment is a separate issue. The contract for weight gain is an additional aspect
of treatment.

[madam-professor]

Gracias!

[phuda]

Excellent