Core Concepts of Family Centered Care

Core Concepts of Family Centered Care Related

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A client suspected of being schizophrenic is scheduled for a computed tomography (CT). The nurse informs the client that the diagnostic test will:

  • A. Confirm the diagnosis of schizophrenia.
  • B. Trace the flow of blood through his brain.
  • C. Allow the doctors to view the structures of his brain.
  • D. Help determine the areas of his brain that are overreacting.
Correct Answer: C

Rationale: The correct answer is C because CT scans allow doctors to view the structures of the brain, which can help identify any abnormalities or conditions present. This is essential in diagnosing and understanding conditions like schizophrenia. Choice A is incorrect because CT scans do not confirm psychiatric diagnoses; they provide anatomical information. Choice B is incorrect as CT scans do not trace blood flow, that's done through techniques like fMRI or PET scans. Choice D is incorrect because CT scans do not determine brain areas that are overreacting, that's usually assessed through functional imaging techniques.

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How many categories of test used in guidance:

  • A. 5
  • B. 4
  • C. 6
  • D. 3
Correct Answer: A

Rationale: Guidance tests (e.g., aptitude, interest, personality, achievement, intelligence) are typically categorized as 5.

Which nursing intervention is directed toward one of the aims of primary preventive psychiatric nursing care?

  • A. Counseling both physical and sexual abuse victims
  • B. Providing stress management classes to new parents
  • C. Screening senior citizens for both acute and chronic depression
  • D. Arranging for clients to be transported to area Alcoholics Anonymous meetings
Correct Answer: B

Rationale: The correct answer is B because providing stress management classes to new parents aligns with primary preventive psychiatric nursing care, which aims to prevent mental health issues before they occur. This intervention promotes mental wellness by teaching coping skills and reducing stressors. Counseling abuse victims (A) is secondary prevention, addressing existing mental health issues. Screening for depression in senior citizens (C) is tertiary prevention, aimed at early detection and treatment of mental health conditions. Arranging transportation to Alcoholics Anonymous meetings (D) is also secondary prevention, targeting individuals with existing substance abuse problems.

Which of the following approaches is most likely to address patients' and families' concerns about perceived racial disparities in clinical care and research?

  • A. Emphasize that race has no bearing on health care
  • B. Assure patients that all medications and treatments have established safety and efficacy in all race/ethnic groups
  • C. Openly discuss established differences among race/ethnic groups related to treatment and areas where differences may exist but remain unknown
  • D. Limit opportunities for patients to speak to family members and friends about their concerns
Correct Answer: C

Rationale: Transparent discussion builds trust by acknowledging disparities.

The psychosexual stage associated with toilet training is

  • A. Oral
  • B. Anal
  • C. Phallic
  • D. Genital
Correct Answer: B

Rationale: The anal stage (1-3 years, Freud) involves control over bodily functions.

How many drops per minute would you administer when the doctor's order states that the client should receive 1 liter of fluid over 8 hours and the intravenous set delivers 20 gtts per cc?

  • A. 31 gtts
  • B. 42 gtts
  • C. 48 gtts
  • D. 51 gtts
Correct Answer: A

Rationale: 1 L = 1000 mL; 1000 mL / 8 hr = 125 mL/hr; 125 mL x 20 gtts/mL / 60 min = 31.25 gtts/min, rounded to 31 (A).

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