Patient Family Centered Care Nursing

Patient Family Centered Care Nursing Related

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A nurse manager notices that a staff member spends minimal time with a patient diagnosed with AIDS who is terminally ill. The patient says, Im having intense emotional reactions to this illness. Sometimes I feel angry, but other times I feel afraid or abandoned. The nurse manager can correctly hypothesize that the most likely reason for the staff members avoidance is:

  • A. fear of infection transmission.
  • B. feelings of inadequacy in dealing with complex emotional needs.
  • C. knowledge that the patient needs time alone with family and friends.
  • D. belief that the patients former lifestyle included high-risk behaviors.
Correct Answer: B

Rationale: Many nurses tend to be more comfortable with meeting physical needs than in focusing on complex emotional needs. Standard precautions are necessary for all patients. The patients lifestyle is irrelevant.

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Role learning theory suggests that

  • A. Social roles are not fixed but are fluid and pluralistic
  • B. We create and negotiate our roles through interaction with others
  • C. We internalize and take on social roles from a pre-existing frame work
  • D. Roles have to be learned to suppress unconscious motivations
Correct Answer: C

Rationale: Role theory posits internalization of predefined roles via socialization.

A 15-year-old is hospitalized after a suicide attempt. This adolescent lives with the mother, stepfather, and several siblings. When performing a family assessment, the nurse must first determine:

  • A. how the family expresses and manages emotion.
  • B. names and relationships of the familys members.
  • C. the communication patterns between the patient and parents.
  • D. the meaning that the patients suicide attempt has for family members.
Correct Answer: B

Rationale: The identity of the members of the family is the most fundamental information and should be obtained first. Without this, the nurse cannot fully process the other responses.

The child's ability to understand logical operations develops during

  • A. Sensorimotor
  • B. Preoperational
  • C. Concrete operational
  • D. Formal operational
Correct Answer: C

Rationale: Logical operations, like classification, develop in the concrete operational stage (Piaget).

he Montessori approach believes that children learn best by

  • A. Structured lessons
  • B. Direct instructions
  • C. Self-directed activities
  • D. Group activities
Correct Answer: C

Rationale: Montessori emphasizes self-directed activities, allowing children to explore and learn at their own pace.

The narrow attention of positive psychology on the

  • A. Experience
  • B. Individual
  • C. Interpersonal
  • D. Community
Correct Answer: B

Rationale: Positive psychology's focus on the individual is critiqued for ignoring broader social contexts.

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