Author Question: A child with ADHD is referred to the nurse practitioner for family therapy. The father and mother ... (Read 33 times)

Jipu 123 · **on:** Jul 19, 2018

A child with ADHD is referred to the nurse practitioner for family therapy. The father and mother are out of the country and have been out of touch for three months.

The child's older sister has assumed the role of parenting her younger sibling. This is an example of a: 1. Disengaged family.
2. Enmeshed family.
3. Skewed family.
4. Schismatic family.

Question 2

A client with a long history of schizophrenia is being switched from a conventional antipsychotic medication to a newer antipsychotic. The client asks, I wonder why I am being switched since I have not had hallucinations for years.

The psychiatrist said something about negative symptoms. Which response by the nurse is correct? 1. Negative symptoms are those that interrupt your life, such as hearing voices or thinking that people are out to get you.
2. The conventional antipsychotic medications do not work well with positive symptoms, such as hallucinations.
3. You must have heard wrong because medications would not be switched due to negative symptoms.
4. Newer antipsychotic medications work on hallucinations as well as negative symptoms, such as lack of motivation.

fauacakatahaias · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

1
Rationale: In disengaged families, family members seem oblivious to the effects of their actions on one another. They are unresponsive and unconnected to each other. Structure, order, or authority in the family may be weak or nonexistent. In these families, a child often assumes the parental role. The family does not appear skewed, enmeshed or schismatic.

Answer to Question 2

4
Rationale: The newer antipsychotic medications work on the negative as well as the positive symptoms of schizophrenia. The conventional antipsychotic medications worked well with the positive symptoms, such as hallucinations and delusions. The negative symptoms include flat affect and lack of motivation. Treating significant negative symptoms would be one reason for switching from a conventional to an atypical antipsychotic medication.