A nurse is working with a family that demonstrates a high level ...

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A nurse is working with a family that demonstrates a high level of conflict. Which intervention would be most appropriate?
 
  1. Help them to learn more effective communication skills.
  2. Help them obtain medication to decrease their intensity levels.
  3. Help them to identify the family member who is causing the conflict.
  4. Help them decide which family member should have the most power in decision making.

Question 2

A 12-year-old patient, who was recently place in foster care after one year in a residential facility, reports recurring nightmares about a violent event in the residence. He also has some difficulty remembering and concentrating.
 
  The nurse suspects the patient may be developing which disorder?
  1. Depression
  2. Separation anxiety
  3. Pediatric bipolar disorder (PBD)
  4. Posttraumatic stress disorder (PTSD)

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Answer to Question 1

Answer: 1
Explanation: Helping the family members to better advocate and communicate within the family would help to decrease the high emotion at home, improve social support, and provide a backdrop for more effective problem solving in the home. Medication is indicated for serious mental health disorders, not for resolving conflicts. Identifying a family member as causing conflict (identified patient role) is an indication of family dysfunction, not an intervention to resolve it. Collaborative, rather than authoritative, decision making helps resolve conflicts.

Answer to Question 2

Answer: 4
Explanation: Symptoms of PTSD include recurring, distressing dreams related to the event as well as memory impairment, impaired information processing, and difficulty concentrating. Children who are depressed typically cannot communicate their sadness with words, as in verbal reports of troubling dreams, but instead communicate to others with their withdrawn, sad, and/or irritable mood states. Separation anxiety occurs when a child exhibits great fear and distress when separated from parents or home. Pediatric bipolar disorder (PBD) is characterized by significant mood disturbances, including elated or irritable mood.

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Excellent

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