The family of a client mentions to the nurse, 'The family therapist talked to us about enmeshment. We're not sure we understood what it meant.' The nurse should base a response on knowledge that an enmeshed family is a unit in which:

Correct Answer: B

Rationale: The correct answer is B: boundaries are poorly defined. In an enmeshed family, boundaries between family members are blurred, leading to a lack of individual autonomy and independence. Enmeshment can result in difficulties in establishing personal identities and healthy relationships. Choices A, C, and D are incorrect because individuality is not encouraged, conflict is not effectively resolved, and social acceptance is not necessarily deemed unimportant in an enmeshed family dynamic.

Correct Answer: C

Rationale: The correct answer is C because examining the nurse's own feelings about weight is essential to ensure they have a neutral and non-judgmental attitude towards the patient. This self-awareness helps the nurse avoid projecting biases onto the patient and fosters a therapeutic relationship. Performing a complete patient assessment (A) is important but not the first step. Obtaining a history from the patient's family (B) may be helpful but is not the initial priority. Questioning the patient about their last meal (D) is important but does not address the nurse's own attitudes and biases that could impact care.

Correct Answer: C

Rationale: The correct answer is C: Cognitive behavioral therapy (CBT). CBT is the most effective therapy for eating disorders based on research evidence. It helps patients identify and change negative thoughts and behaviors related to food and body image. CBT also teaches coping skills and strategies to manage triggers. Supportive therapy (choice A) offers emotional support but may not target the underlying issues. Behavioral therapy (choice B) focuses on changing specific behaviors but may not address cognitive patterns. Psychoanalytical group therapy (choice D) delves into past experiences but is not as effective as CBT in treating eating disorders.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) 9 students reporting clinically significant symptoms of depression in a class of 33. This estimate is based on statistical data that suggests approximately 1 in 4 youths may experience mental health issues like depression. By applying this rate to the class size, we can estimate that around 9 students would be affected. Option A) 1 student reporting symptoms would be too low based on the prevalence rate of mental health issues among youth. Option B) 4 students is also too low and does not align with the expected prevalence rate of depression in the youth population. Option D) 13 students reporting symptoms would be too high based on the 1 in 4 estimate and would overestimate the number of students likely to be affected. Educationally, this question highlights the importance of understanding the prevalence of mental health issues in specific populations, such as youth in a school setting. It emphasizes the need for healthcare providers to be aware of these trends to effectively support and address the mental health needs of young individuals. By making this estimation, professionals can better prepare to provide appropriate care and resources to those in need.

Correct Answer: A

Rationale: In this question regarding behaviors associated with adolescent depression, option A, "School refusal," is the correct choice. Adolescents with depression often exhibit school refusal due to feelings of hopelessness, overwhelming stress, or lack of motivation. This behavior can significantly impact their academic performance and social interactions. Option B, "Social withdrawal," is a common symptom of depression in adolescents, but it is not specific to this age group and can be present in various mental health conditions. Reduced self-care (option C) can be a sign of depression; however, it is a general symptom and not unique to adolescents. Maladaptive coping behaviors (option D) can also be present in adolescents with depression, but they are not as specific or commonly associated with this age group compared to school refusal. Educationally, understanding the unique behavioral indicators of depression in adolescents is crucial for early identification and intervention. By recognizing specific signs like school refusal, educators and healthcare professionals can provide appropriate support, referrals, and resources to help adolescents navigate their mental health challenges effectively. This knowledge contributes to creating a supportive and inclusive learning environment that prioritizes the well-being of all students.