A client diagnosed with bipolar disorder is starting the first ...

[anshika]

A client diagnosed with bipolar disorder is starting the first family therapy session. The nurse knows the client's children, aged 2 and 4, will:
 
  1. Not be included in the therapy session.
  2. Help the client acclimate to the mental health clinic.
  3. Benefit from the therapy session.
  4. Help the client understand the importance of getting well.

Question 2

The nurse is reflecting on psychiatric nursing care in the 19th century. Which nursing diagnosis is most consistent with the focus of psychiatric nursing care during the 19th century?
 
  1. Ineffective individual coping
  2. Self-care deficit
  3. Anxiety
  4. Altered thought processes

[bpool94]

Answer to Question 1

1
Rationale: Children 4 years of age and younger are often not included in ongoing family therapy sessions. They may misinterpret or be frightened by the dialogue. In addition, small children tend to be disruptive. The children are not expected to help the client.

Answer to Question 2

2
Rationale: During the 19th century, psychiatric nurses attended mainly to the physical needs of clients and did not pursue systematic interpersonal work with them. Psychiatric nursing practice was primarily custodial. Nursing care that systematically addresses anxiety, coping, and altered-thought processes did not come about until the mid 20th century.