Concept of Family Health Care

Concept of Family Health Care Related

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A client diagnosed with depression has reported fatigue and poor concentration. When she is told that the results of her sleep study show that she has excessive REM sleep cycles, the client asks the nurse to explain what those results mean. The nurse best answers the client's concerns by replying:

  • A. It means that you are sleep deprived.'
  • B. REM sleep stands for rapid eye movement sleep.'
  • C. Too much REM sleep deprives you of deep restoring sleep.'
  • D. Depressed individuals generally experience prolonged periods of REM sleep.'
Correct Answer: C

Rationale: The correct answer is C: "Too much REM sleep deprives you of deep restoring sleep." This is the best answer because excessive REM sleep can disrupt the normal sleep cycle, leading to a deprivation of deep, restorative sleep stages like slow-wave sleep. During REM sleep, the brain is active, but the body remains mostly immobile. This can result in poor sleep quality and contribute to symptoms of fatigue and poor concentration reported by the client.

Choice A is incorrect because excessive REM sleep does not necessarily mean the client is sleep deprived. Choice B is an oversimplification and does not address the potential negative impact of excessive REM sleep on sleep quality. Choice D is also incorrect because while depressed individuals may have alterations in their sleep patterns, not all depressed individuals experience prolonged periods of REM sleep.

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The theorist associated with zone of proximal development is

  • A. Jean Piaget
  • B. Erik Erikson
  • C. Lev Vygotsky
  • D. John Dewey
Correct Answer: C

Rationale: Vygotsky's zone of proximal development defines learning potential with guidance.

Your client has a tube feeding. Which of the following commonly occurring complications of tube feedings can you prevent with the preventive measure that is coupled with it?

  • A. Constipation: The provision of a high fiber diet
  • B. Urinary pH changes: Encouraging ample oral fluid intake
  • C. Aspiration: Maintaining the client in at least a 30 degree angle
  • D. Aspiration: Maintaining the client in at least a 90 degree angle
Correct Answer: C

Rationale: Aspiration prevention (C) requires a 30-45 degree angle.

Which demographic is the fastest-growing element of homelessness in the US?

  • A. Those with substance-abuse issues
  • B. Young men between the ages of 18-24
  • C. Families with children
  • D. Persons struggling with mental health issues
Correct Answer: C

Rationale: Families with children are increasingly homeless due to economic pressures and lack of affordable housing.

Which of the following best describes a social gambler?

  • A. Someone who gambles for the heightened thrill and needs higher bets to achieve the same feeling.
  • B. Gambles for fun during new year gatherings.
  • C. Believes gambling is a way to make money, similar to financial investment.
  • D. Steals money to feed the gambling habit.
Correct Answer: B

Rationale: Social gambling is casual, recreational, and often tied to social events like New Year gatherings, without significant negative consequences.

When it is suggested that a stress management therapy group have its membership limited to 15 participants, the nurse manager responds:

  • A. That is really too many people; enroll only the first 7 who demonstrate a genuine interest in attending.'
  • B. OK, but stop enrollment at 15; chances are excellent that not everyone who signed up will end up attending.'
  • C. Well, 15 is a lot but it is manageable if the individuals include spouses, family members, siblings, or even long-term partners.'
  • D. The maximum number that supports therapeutic work is 10; we can create two separate groups if we have that much interest in the service.'
Correct Answer: D

Rationale: The correct answer is D because it addresses the need for effective therapeutic work. By stating that the maximum number supporting therapeutic work is 10, it indicates an understanding of group dynamics and ensures each member receives adequate attention and participation in the group process. Creating two separate groups if there is more interest demonstrates flexibility while maintaining the quality of the therapy sessions.

A: This answer limits enrollment based on interest, which may not necessarily correlate with the effectiveness of the therapy group.
B: This answer assumes that not everyone who signs up will attend, which does not address the issue of group dynamics and therapeutic effectiveness.
C: This answer suggests including additional individuals beyond the 15 limit, which could lead to overcrowding and hinder the therapeutic process.

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