A patient has blindness related to conversion (functional neurological) disorder. To help the patient eat, the nurse should

Correct Answer: B

Rationale: In this scenario, the correct answer is B) expect the patient to feed self after explaining the arrangement of the food on the tray. This option promotes patient autonomy and independence, which are essential in managing conversion disorder. By providing clear instructions on the food's layout, the nurse empowers the patient to take control of their eating process, fostering self-reliance and potentially improving their condition. Option A is incorrect because relying on other patients to feed the individual may hinder their independence and could lead to social dependency issues. Option C is incorrect as it expects the patient to independently locate items, which may be challenging due to their visual impairment. Option D is inappropriate as it neglects the specific needs of the patient with blindness, compromising their care and well-being. In an educational context, it is crucial for nurses to understand the principles of patient-centered care, especially when managing complex conditions like conversion disorder. By promoting patient autonomy and providing the necessary support and guidance, nurses can enhance the patient's sense of control and contribute to their overall well-being and treatment outcomes.

Correct Answer: A

Rationale: The adolescent and the parents must agree on a behavioral contract that clearly outlines rules, expected behaviors, and consequences for misbehavior. It must also include rewards for following the rules. The adolescent will continue to experience anger and frustration. The adolescent and parents must continue with family therapy to work on boundary and communication issues. It is not necessary to separate the adolescent from the family to work on these issues. Separation is detrimental to the healing process. While it is helpful for the adolescent to identify peers who are a positive influence, it is more important for behavior to be managed for an adolescent diagnosed with a CD.

Correct Answer: A

Rationale: Parents who are abusive, rejecting, or overly controlling cause a child to suffer detrimental effects. Other stressors associated with impulse control disorders can include major disruptions such as placement in foster care, severe marital discord, or a separation of parents. Substance abuse by a parent is common. Acne and allergies are not aspects of the history that relate to the behavior.

Correct Answer: B

Rationale: The assessment of situational supports should continue. Even though the patient's nuclear family may not be supportive, other situational supports may be available. If they are adequate, admission to an inpatient unit will be unnecessary. Psychotherapy is not appropriate for crisis intervention. Advice is usually nontherapeutic.

Correct Answer: A

Rationale: The adult's crisis clearly relates to a loss of (or threatened change in) self-concept. Her capacity to care for her parents, regardless of the parent's condition, has been challenged. Crisis resolution will involve coming to terms with the feelings associated with this loss. Identifying situational supports is relevant, but less so than coming to terms with the threat to self-concept. Reliance on lessons from role models can be helpful but not the primary factor associated with resolution in this case. Automatic relief behaviors include withdrawal or flight and will not be helpful. Automatic relief behaviors are part of the third phase of crisis.