Which of these client behaviors would the nurse assess as ...

[michelleunicorn]

Which of these client behaviors would the nurse assess as indicating a potential relapse in a para-philic?
 
  1. Requesting a visit from family members
  2. Refusing to take the prescribed medications
  3. Sitting alone in the day room writing poetry
  4. Attempting to develop a social relationship with the staff

Question 2

A client asks, Why do I have to go to group and sit around and talk? I'd rather read. The nurse can base a reply on knowledge that the purpose of group psychotherapy for clients with paraphil-ias is to deal with cognitive distortions and to:
 
  1. Assist clients in identifying triggers that may affect their behavior
  2. Teach clients how to therapeutically interact with others
  3. Explain legal implications involved with certain sexual behaviors
  4. Explore methods to structure time to assist in relapse prevention

[manuelcastillo]

Answer to Question 1

ANS: 2
Refusal to take prescribed medication is often associated with denial of the problem. Option 1 is a positive sign. Option 3 is a way of expressing feelings constructively. Option 4 is inappropriate but does not signal relapse.

Answer to Question 2

ANS: 1
Learning to identify events and feelings that trigger dysfunctional behavior will decrease the risk to society. 2. This is not the purpose of a group for clients with paraphilias. 3. It is unlikely that legal implications will be the focus of the group. 4. This is more likely the purpose of activities therapy, OT, or RT.

[michelleunicorn]

Thanks for the timely response, appreciate it

[debra928]

Excellent