After teaching a group of students about the service and patient variables used when determining settings along the continuum of behavioral care, the instructor determines that the teaching was successful when the students identify which of the following as a service variable?

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Question 1 of 5

After teaching a group of students about the service and patient variables used when determining settings along the continuum of behavioral care, the instructor determines that the teaching was successful when the students identify which of the following as a service variable?

Correct Answer: B

Rationale: The correct answer is B: Milieu. In behavioral care, the milieu refers to the therapeutic environment or setting where the treatment takes place. It includes factors such as the physical environment, staffing, structure, and culture of the treatment setting. Understanding the milieu is crucial for providing effective care and promoting positive outcomes for patients. Signs and symptoms (choice A) are not service variables but indicators of a patient's condition. Risk (choice C) is related to assessing potential harm or danger to the patient and is not a service variable. Social support (choice D) is important for patient recovery but is not a service variable directly associated with determining settings along the continuum of behavioral care.

Question 2 of 5

The nurse is planning an initial therapy session with a 20-year-old patient whose parents had alcoholism. The nurse anticipates that the patient would most likely exhibit symptoms of which of the following?

Correct Answer: C

Rationale: The correct answer is C: Low self-concept. Due to the patient's family history of alcoholism, they may have experienced emotional neglect or instability, leading to low self-esteem and self-concept issues. This can manifest in various ways, such as seeking validation from others or struggling with self-worth. Delusions (A) and paranoid delusions (B) are not directly associated with a family history of alcoholism. Extroversion (D) is a personality trait and not necessarily linked to the patient's family background.

Question 3 of 5

The plan of care for a patient with anger includes behavioral interventions. Which of the following would the nurse be likely to find?

Correct Answer: B

Rationale: The correct answer is B: Anger management. This is because anger management techniques are specifically designed to help individuals recognize triggers, control emotions, and respond in more constructive ways. Self-monitoring of cues (A) involves identifying personal anger cues but does not necessarily address management strategies. Relaxation training (C) focuses on reducing stress, not specifically managing anger. Response disruption (D) involves interrupting negative behaviors but does not encompass the comprehensive strategies of anger management.

Question 4 of 5

A family member of a client diagnosed with schizoaffective disorder asks a nurse what causes the disorder. Which response by the nurse would be most appropriate?

Correct Answer: B

Rationale: The correct answer is B because research has shown a strong genetic component in the development of schizoaffective disorder. Genetic factors play a significant role in predisposing individuals to this condition. Studies have identified specific genetic markers and hereditary patterns associated with the disorder. This explanation is supported by scientific evidence and is widely accepted in the field of psychiatry. Choice A is incorrect because while family dynamics may influence the course of the disorder, it is not considered a direct cause. Choice C is incorrect as dopamine dysregulation is more commonly associated with schizophrenia, not schizoaffective disorder. Choice D is incorrect as birth order has not been identified as a significant factor in the development of schizoaffective disorder.

Question 5 of 5

A client with borderline personality disorder tells the nurse, I'm afraid to get on a train because we'll probably get into a wreck. Which response by the nurse would be most appropriate?

Correct Answer: B

Rationale: The correct answer is B: "What are the chances of that actually happening?" This response acknowledges the client's fear while prompting critical thinking about the likelihood of the feared event. It encourages the client to examine the rationality of their fear and challenges distorted thinking common in borderline personality disorder. A: Asking about a bad experience focuses on past events rather than addressing the client's current fear. C: Telling the client it won't happen dismisses their fear and does not address the underlying issue. D: Suggesting another mode of transportation avoids addressing the client's fear directly and does not promote critical thinking.

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