Concept of Family Health Nursing Care

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A client's history documents that there have been examples of indirect self-destructive behavior. Which nursing assessment data supports this diagnosis?

  • A. Client has attempted suicide on three other occasions.
  • B. Reports of abusing alcohol since the age of 16.
  • C. Client experiences episodes of hypoglycemia on a regular basis.
  • D. While acknowledging suicidal thoughts, the client denies any plan.
Correct Answer: B

Rationale: The correct answer is B because reports of abusing alcohol since the age of 16 indicate a pattern of indirect self-destructive behavior. This behavior can lead to physical harm and other negative consequences. Option A directly mentions suicide attempts, not indirect behavior. Option C is unrelated to self-destructive behavior. Option D, while acknowledging suicidal thoughts, does not demonstrate a pattern of indirect self-destructive behavior like long-term alcohol abuse.

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Intervention with Andrew (from question 12) would include:

  • A. Encouraging expression of feelings
  • B. Antianxiety medications
  • C. Participation in a support group
  • D. All of the above
Correct Answer: D

Rationale: The correct answer is D because a comprehensive intervention for Andrew should include all options. Encouraging expression of feelings helps him process emotions. Antianxiety medications can address his symptoms. Participation in a support group offers additional emotional support and coping strategies. Each option plays a crucial role in Andrew's holistic care, addressing his emotional, physical, and social needs. A combination of these interventions provides a well-rounded approach to support Andrew's mental health and well-being.

The theorist who believes in social interaction is

  • A. Sigmund Freud
  • B. Carl Rogers
  • C. Lev Vygotsky
  • D. Erik Erikson
Correct Answer: C

Rationale: Lev Vygotsky's theory emphasizes social interaction as key to cognitive growth.

The family of a patient with AIDS has been instructed on patient manifestations to report to the health care provider (HCP). Which manifestation should be reported indicating that teaching has been effective?

  • A. Fever
  • B. Dry mouth
  • C. Night sweats
  • D. Constipation
Correct Answer: C

Rationale: The correct answer is C: Night sweats. Night sweats are a common symptom of advanced HIV/AIDS, indicating a weakened immune system. Reporting this symptom is crucial for monitoring disease progression and adjusting treatment. Fever (A) is common in many conditions, dry mouth (B) is not specific to AIDS, and constipation (D) is not a typical manifestation of AIDS. Reporting night sweats shows understanding of the disease process and the importance of monitoring symptoms in AIDS patients.

This theorist identified eight developmental tasks or stages that are expressed as opposites or contraindications of each other.

  • A. Erik Erikson
  • B. Sigmund Freud
  • C. Jean Piaget
  • D. Abraham Maslow
Correct Answer: A

Rationale: Erikson's developmental concepts were derived partly from Sigmund Freud's concepts of personality development. Erikson's stages related to developmental task based on age.

Latency stage exist between

  • A. 6-12 years
  • B. 3-5 years
  • C. 3-6 years
  • D. Birth to 1 year
Correct Answer: A

Rationale: Freud's latency stage (6-12 years) is a period of calm.

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