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    Mental health proctored exam

    A patient diagnosed with a somatic symptom disorder has the nursing diagnosis: 'Interrupted family processes, related to patient's disabling symptoms as evidenced by the spouse and children assuming roles and tasks that previously belonged to patient: What is an appropriate goal for this patient?

    Explanation & Rationale

    A. Assumes roles and functions of the other family members: The aim is not for the patient to take over the responsibilities of others. Instead, the focus is on restoring balance by resuming their own prior roles within the family. B. Relies on family members to meet personal needs: Dependence on family perpetuates dysfunctional family dynamics and maintains the disabling effects of the somatic symptoms. Encouraging reliance does not promote independence or recovery. C. Demonstrate a resumption of former roles and tasks: Encouraging the patient to gradually take back responsibilities supports independence, restores healthy family processes, and reduces the burden on family members. D. Focuses energy on problems occurring in the family: While family issues may need to be addressed, focusing primarily on family conflicts diverts attention away from the therapeutic goal of the patient regaining function and resuming normal roles.

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