Core Concepts of Patient Family Care

Core Concepts of Patient Family Care Related

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A new patient in an alcoholism rehabilitation program says, 'I’m just a social drinker. I usually have a drink or two at brunch, a few cocktails in the afternoon, wine at dinner, and a few drinks in the evening.' Which response by the nurse will help the patient view the drinking more honestly?

  • A. I see,' and use interested silence.
  • B. I think you may be drinking more than you report.'
  • C. Being a social drinker involves having a drink or two once or twice a week.'
  • D. You describe drinking steadily throughout the day and evening. Am I correct?'
Correct Answer: D

Rationale: Step 1: The nurse needs to provide a reflection that highlights the patient's patterns of drinking.
Step 2: Option D reflects the patient's drinking pattern accurately and objectively.
Step 3: By repeating the patient's own words back to them, the nurse helps the patient see the extent of their drinking.
Step 4: This response encourages the patient to reflect on their alcohol consumption more honestly.
Step 5: Option D is correct as it addresses the patient's behavior directly and prompts self-reflection.

Summary:
- Option A is passive and does not challenge the patient's perception.
- Option B is confrontational and may lead to defensiveness.
- Option C provides a generalized definition of social drinking, not addressing the patient's specific behavior.

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Nurse Jones decides to go against family wishes and tell the client of his terminal status because that is what she would want if she were the client. Which of the following ethical theories is considered in this decision?

  • A. Kantianism
  • B. Christian ethics
  • C. Natural law theories
  • D. Ethical egoism
Correct Answer: A

Rationale: Nurse Jones bases her decision on what she would want in the client's position, reflecting a duty-based approach focused on universal moral principles, which aligns with Kantianism, option a.

is a set of observable and measurable actions.

  • A. Emotions
  • B. Thoughts
  • C. Behaviour
  • D. Attitude
Correct Answer: C

Rationale: Behavior refers to observable, measurable actions, distinguishing it from internal states like emotions.

The theorist associated with psychosocial development is

  • A. Sigmund Freud
  • B. Carl Rogers
  • C. Abraham Maslow
  • D. Erik Erikson
Correct Answer: D

Rationale: Erik Erikson's psychosocial theory outlines eight stages of development.

Which statement by the nurse will have the greatest impact on medication adherence for a client diagnosed with depression?

  • A. I can see about getting your medication for free if you promise to take it.'
  • B. You will feel so much better if you take your medication as we've discussed.'
  • C. Taking this medication will help you start enjoying the time you spend with your grandchildren again.'
  • D. Take your medication and the depression you are feeling will go away and you'll be your old self again.'
Correct Answer: C

Rationale: The correct answer is C because it emphasizes a positive outcome that is personally meaningful to the client - enjoying time with grandchildren. This statement motivates the client by linking medication adherence to a specific benefit that holds significance for them. Option A involves a conditional offer which may not address the client's underlying motivation. Option B focuses on general improvement without personalizing it, and Option D oversimplifies the complexity of depression recovery. In summary, Option C is the most effective as it connects medication adherence to a specific and meaningful goal for the client.

Self-concept affects the ability to function and greatly influences --.--status:

  • A. Social
  • B. Mental
  • C. Health
  • D. Well-being
Correct Answer: C

Rationale: Self-concept impacts health status, influencing physical and psychological functioning.

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