Author Question: The parent of an adolescent diagnosed with mental illness asks the nurse, Why do you want to do a ... (Read 78 times)

809779 · **on:** Jul 19, 2018

The parent of an adolescent diagnosed with mental illness asks the nurse, Why do you want to do a family assessment? My teenager is the patient, not the rest of us. Select the nurse's best response.

a. Family dysfunction might have caused the mental illness.
b. Family members provide more accurate information than the patient.
c. Family assessment is part of the protocol for care of all patients with mental illness.
d. Every family member's perception of events is different and adds to the total picture.

Question 2

An adult diagnosed with schizophrenia lives with elderly parents. The patient was recently hospitalized with acute psychosis. One parent is very anxious, and the other is ill because of the stress.

Which nursing diagnosis is most applicable to this scenario?

a. Ineffective family coping related to parental role conflict
b. Caregiver role strain related to the stress of chronic illness
c. Impaired parenting related to patient's repeated hospitalizations
d. Interrupted family processes related to relapse of acute psychosis

EAN94 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: D
The identified patient usually bears most of the family system's anxiety and may have come to the attention of parents, teachers, or law enforcement because of poor coping skills. The correct response helps the family understand that the opinions of each will be valued. It allows the nurse to assess individual coping and prepares the family for the experience of working together to set goals and solve problems. The other responses are either incorrect or evasive.

Answer to Question 2

ANS: B
Caregiver role strain refers to a caregiver's felt or exhibited difficulty in performing a family caregiver role. In this case, one parent exhibits stress-related illness and the other exhibits increased anxiety. The other nursing diagnoses are not substantiated by the information given and are incorrectly formatted one nursing diagnosis should not be the etiology for another.