While assessing a family system, the nurse uses the structural family system model by Minuchin. The nurse focuses the assessment on which of the following about the family members?

Correct Answer: A

Rationale: The correct answer is A: Boundaries. In the structural family system model by Minuchin, boundaries refer to the rules and limits that define the relationships between family members. By focusing on boundaries, the nurse can assess how family members interact and communicate with each other, which is crucial in understanding the family dynamics and identifying potential issues. Emotional cutoff (B) refers to avoiding emotional connections, sibling position (C) relates to birth order and its impact, and family projection process (D) is about parents projecting their own issues onto their children. These concepts are important but not the primary focus of the structural family system model assessment.

Correct Answer: D

Rationale: The correct answer is D: Diabetes. Olanzapine (Zyprexa) is an atypical antipsychotic known to cause metabolic side effects, including weight gain and increased risk of diabetes. The nurse should monitor the client for signs of hyperglycemia, such as increased thirst, frequent urination, and fatigue. Weight loss (A) is less likely due to olanzapine's tendency to cause weight gain. Hypertension (B) and diarrhea (C) are not typically associated with olanzapine use.

Correct Answer: C

Rationale: The correct answer is C: Severe anxiety. Relief behaviors indicate that the client is trying to alleviate overwhelming anxiety. Severe anxiety is characterized by extreme discomfort and impaired functioning, leading individuals to resort to relief behaviors. Mild anxiety (choice A) typically involves mild uneasiness, whereas moderate anxiety (choice B) involves increased nervousness. Panic (choice D) is characterized by an overwhelming sense of terror and loss of control, which is more intense than relief behaviors suggest in this scenario.

Correct Answer: D

Rationale: The correct answer is D: Assertiveness skills. This is the priority focus because individuals with somatic symptom disorder often struggle with expressing their needs and setting boundaries. Developing assertiveness skills can help clients communicate effectively, improve self-esteem, and reduce anxiety related to their symptoms. Choices A, B, and C are incorrect as they do not directly address the core issues of somatic symptom disorder. Understanding the causes of medical illnesses may not necessarily improve the client's ability to cope with their symptoms. Positive self-talk is beneficial but may not address the interpersonal challenges often seen in this disorder. Exploring side effects of medications is important but not as crucial as building assertiveness skills for long-term symptom management.

Correct Answer: A

Rationale: The correct answer is A. The nurse should suspect a side effect if the child reports feeling sleepy while taking haloperidol. This is because sedation or drowsiness is a common side effect of haloperidol, a typical antipsychotic medication. Sedation can affect the child's daily functioning and quality of life. Choice B is incorrect as maintaining the same appetite is not typically a side effect of haloperidol. Choice C is incorrect as increased muscle flexibility is not a common side effect of haloperidol. Choice D is incorrect as feeling more alert is not consistent with the sedative effects of haloperidol.