A patient with a somatic symptom disorder has the nursing diagnosis Interrupted family processes related to patient's disabling symptoms as evidenced by spouse and children assuming roles and tasks that previously belonged to patient. An appropriate outcome is that the patient will

Correct Answer: B

Rationale: In this scenario, the correct answer is B) demonstrate performance of former roles and tasks. This outcome is appropriate because it signifies that the patient is regaining their ability to fulfill their previous roles within the family, indicating progress in addressing the interrupted family processes related to their somatic symptom disorder. Option A) assume roles and functions of other family members is incorrect as it would perpetuate the existing issue of family members taking on responsibilities that should belong to the patient, rather than the patient reclaiming their roles. Option C) focus energy on problems occurring in the family is not the most appropriate outcome as it does not directly address the resolution of the interrupted family processes but rather shifts the focus towards identifying issues without actively working towards resolving them. Option D) rely on family members to meet personal needs is also incorrect as the goal of treatment is to empower the patient to become more self-sufficient and independent in meeting their own needs, rather than fostering dependency on others. Educationally, this question highlights the importance of setting appropriate and specific outcomes in nursing care plans to address the underlying issues effectively. It also underscores the significance of promoting patient autonomy and restoring family dynamics to a healthier state in the context of somatic symptom disorders.

Correct Answer: C

Rationale: The child's behavior warrants an active response. Redirecting the expression of feelings into nondestructive age-appropriate behaviors, such as a physical activity, helps defuse the situation here and now. This response helps the child learn how to modulate the expression of feelings and exert self-control. This is the least restrictive alternative and should be tried before resorting to a more restrictive measure. Role playing is appropriate after the child's anger is defused.

Correct Answer: C

Rationale: A situational crisis arises from events that are extraordinary, external rather than internal, and often unanticipated. Sexual molestation falls within this classification. Maturational crisis occurs as an individual arrives at a new stage of development, when old coping styles may be ineffective. "Organic" and "Tertiary" are not types of crisis.

Correct Answer: A

Rationale: Strategies of crisis intervention address the immediate cause of the crisis and restoration of emotional security and equilibrium. The goal is to return the individual to the precrisis level of function. Crisis intervention is, by definition, short term. The correct response is the most global answer. Promoting growth is a focus of long-term therapy. Providing legal assistance might or might not be applicable.

Correct Answer: A

Rationale: In the context of responding to a large-scale natural disaster, the correct first action for emergency response workers is to report to the incident command system (ICS) center. This is crucial because the ICS serves as the central coordination point for all response efforts, ensuring effective communication, resource allocation, and overall management of the disaster response. Option B, determining whether the community is safe, is not the first priority because without proper coordination and information from the ICS, individual assessments of community safety can be inaccurate and lead to inefficient or even dangerous response actions. Option C, establishing teams of workers with varied skills, is important but should come after reporting to the ICS to ensure that team formations align with the overall response strategy and resource needs identified by the command center. Option D, evaluating actions completed by local law enforcement, is not the immediate first action as the priority should be to integrate into the established command structure to work collaboratively with all response partners. In an educational context, understanding the importance of following established incident command protocols in emergency response situations is essential for effective and coordinated disaster management. By prioritizing reporting to the ICS center, responders can contribute to a well-organized and efficient response effort that maximizes resources and minimizes risks during a crisis.