Author Question: Which factor presents the highest risk for a child to develop a psychiatric disorder? a. Having ... (Read 227 times)

APUS57 · **on:** Jul 19, 2018

Which factor presents the highest risk for a child to develop a psychiatric disorder?

a. Having an uncle with schizophrenia
b. Being the oldest child in a family
c. Living with an alcoholic parent
d. Being an only child

Question 2

The nurse wishes to use guided imagery to help a patient relax. Which comments would be appropriate to include in the guided imagery script? Select all that apply.

a. Imagine others treating you the way they should, the way you want to be treated
b. With each breath, you feel calmer, more relaxed, almost as if you are floating
c. You are alone on a beach, the sun is warm, and you hear only the sound of the surf
d. You have taken control, nothing can hurt you now. Everything is going your way
e. You have grown calm, your mind is still, there is nothing to disturb your well-being
f. You will feel better as work calms down, as your boss becomes more understanding

Hikerman221 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: C
Having a parent with a substance abuse problem has been designated an adverse psychosocial condition that increases the risk of a child developing a psychiatric condition. Being in a middle-income family and being the oldest child do not represent psychosocial adversity. Having a family history of schizophrenia presents a risk, but an alcoholic parent in the family offers a greater risk.

Answer to Question 2

ANS: B, C, E
The intent of guided imagery to assist patients manage stress is to lead the patient to envision images that are calming and health-enhancing. Statements that involve the patient calming progressively with breathing, feeling increasingly relaxed, being in a calm and pleasant location, being away from stressors, and having a peaceful and calm mind are therapeutic and should be included in the script. However, items that raise stressful images or memories or that involve unrealistic expectations or elements beyond the patient's control (e.g., that others will treat the patient as he desires, that everything is going the patient's way, that bosses are understanding) interfere with relaxation and/or do not promote effective coping. Thus these are not health-promoting and should not be included in the script.