Concepts of Family Health Care

Concepts of Family Health Care Related

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A member of a group verbally lashes out at the nurse leading the discussion on assuming responsibility for behaviors. When the individual states, 'I was abused as a child by my father; you can't make me take responsibility for all the problems he created for me,' the nurse replies:

  • A. Can we talk about when your father started abusing you?'
  • B. This is a safe place to express your anger about the abuse and about your father.'
  • C. May I suggest we end the session today so you don't direct your anger toward me?'
  • D. I sense that you have unresolved issues with your father but we need to work on your anger.'
Correct Answer: B

Rationale: The correct answer is B because it acknowledges the individual's feelings of anger and provides a safe space for expression. By validating their emotions and offering support, the nurse can help the individual process their past trauma. Choice A focuses solely on the abuse timeline and may not address the immediate emotional need. Choice C avoids the issue and may not help the individual address their feelings constructively. Choice D acknowledges the unresolved issues but doesn't actively support the individual in expressing their emotions. In summary, choice B is the most appropriate as it validates the individual's feelings and offers a safe environment for emotional expression.

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Family is a group defined by sexual relationship, sufficiently precise and enduring to provide for the procreation and upbringing of children:

  • A. Skinner
  • B. Steffen
  • C. Maclver
  • D. Einstein
Correct Answer: C

Rationale: MacIver, a sociologist, defined family by its reproductive and nurturing roles.

Which of the following statements may be an effect of psychologicalization in the clinical context?

  • A. Reduced psychological distress
  • B. Increased involvement of psychologists and psychiatrists in the management of acutely ill patients
  • C. Misdiagnosis
  • D. Increased detection of undiagnosed depression
Correct Answer: C

Rationale: Overemphasis on psychology can lead to misdiagnosis of physical conditions.

It is an arrangement according to a systematic division into categories or groups:

  • A. Classification
  • B. Prediction
  • C. Selection
  • D. Evaluation
Correct Answer: A

Rationale: Classification organizes items systematically into categories or groups.

The adult children of an elderly client are interested in the use of complementary and alternative medicine (CAM) therapies to help manage their mother's poststroke depression. The nurse responds:

  • A. There has been no research done to investigate the effectiveness of CAM on depression like your mother's.'
  • B. At your mother's age CAM therapies are not indicated since they may affect her impaired renal function.'
  • C. There has been some research to support the use of acupuncture in managing depression that occurs after strokes.'
  • D. I'd suggest you discuss this with your mother's physician before you mention the idea to her since the research on the subject is inconclusive.'
Correct Answer: C

Rationale: Rationale for Correct Answer C: The nurse's response is correct because there has been some research supporting the use of acupuncture in managing depression post-stroke. Acupuncture is a form of CAM therapy that has shown promising results in improving mental health outcomes for stroke patients. By suggesting acupuncture, the nurse is offering a potential evidence-based solution for the client's post-stroke depression. This response aligns with the client's interests in exploring CAM therapies and provides a feasible option for consideration.

Incorrect Answers:
A: This answer is incorrect because it states there has been no research on the effectiveness of CAM for depression after strokes, which is misleading as there is research supporting the use of acupuncture.
B: This answer is incorrect because it assumes that age-related factors like impaired renal function would automatically preclude the use of CAM therapies, which is not always the case.
D: This answer is incorrect because it suggests consulting the physician due to inconclusive research, which may hinder the exploration of potentially beneficial CAM therapies like acupuncture

Which question has the highest priority when assessing a newly admitted patient with a history of alcohol abuse?

  • A. Have you ever had blackouts?'
  • B. When did you have your last drink?'
  • C. Has drinking caused you any problems?'
  • D. When did you decide to seek treatment?'
Correct Answer: B

Rationale: The correct answer is B, "When did you have your last drink?" This question is crucial in assessing the patient's current alcohol intake and potential withdrawal symptoms. Knowing this information helps determine the urgency of medical intervention and monitoring. Choice A focuses on past experiences, not immediate concerns. Choice C is important but does not address the patient's current condition. Choice D is relevant for treatment planning but not as urgent as knowing the last drink time for immediate assessment.

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