Which of the following statements by the nurse working with a ...

[Shelles]

Which of the following statements by the nurse working with a client with SPMI best reflects a cognitivebehavioral therapy approach to caring for the client?
 
  A) The impact of the death of your mother when you were 3 years old has made it difficult for you to trust women.
  B) I know it is difficult but you must get up and get dressed now or you will not be able to use your unit privileges for the remainder of the week.
  C) Sit in the chair next to me, and let's role-play about how you should approach your daughter regarding obtaining money for your clothing.
  D) You have been able to shave and shower for 2 days in a row, which reflects significant progress toward your discharge goals.

Question 2

Which of the following statements is most true regarding the population of homeless individuals who are women?
 
  A) Women are at lower risk for homelessness due to their ability to obtain federal funding and welfare services.
  B) Women are at greater risk for homelessness because they often have children.
  C) Women who are homeless have often experienced domestic violence and have a mental illness, which renders them at high risk.
  D) Women who have children are less likely to be homeless because extended family members are more likely to offer them harbor.

[mbcrismon]

Answer to Question 1

Ans: D
The client with SPMI often has great difficulty feeling positive about herself or himself due to repeated failures in multiple areas of living. During cognitivebehavioral therapy, the nurse communicates respect for the client and identifies those areas in which the client has been able to function. Encouraging the client to identify positive self-statements and provide examples of positive functioning promotes self-esteem.

Answer to Question 2

Ans: C
Women who are homeless have often experienced domestic violence. When mental illness is present, the combination of the illness and lack of adequate resources is a causative factor in homelessness. The history of unwanted pregnancies, STDs, and the risk of rape and violence are also common in homeless women.