Concept of Family Health Care

Concept of Family Health Care Related

Review Concept of Family Health Care related questions and content

A patient arrives at the hospital and describes his inability to achieve an erection after taking his Zoloft for the last three months. The nurse instructs:

  • A. Can discuss switching medications with physician
  • B. but do not abruptly stop taking medication - can cause withdrawal symptom
  • C. Polyuria
  • D. Weight gain
Correct Answer: A

Rationale: Step 1: Zoloft is known to cause sexual side effects like erectile dysfunction.
Step 2: The nurse should recommend discussing switching medications with the physician to address the issue.
Step 3: Switching medications may help alleviate the erectile dysfunction without compromising the patient's mental health treatment.
Summary:
Option A is correct as it directly addresses the patient's concern and offers a potential solution. Options B, C, and D are incorrect as they are unrelated to the patient's issue with erectile dysfunction caused by Zoloft.

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Which of the following choices correctly groups the three components that determine sexual orientation?

  • A. Attraction, self-esteem, and ego
  • B. Attraction, cognition, and behavior
  • C. Cognition, behavior, and ego
  • D. Cognition, self-esteem, and behavior
Correct Answer: B

Rationale: Attraction, cognition, and behavior define sexual orientation comprehensively.

Which of these is not a pitfall of Ecosystems Theory?

  • A. May value the status quo and avoid any real change to avoid disruptions within the family or to ensure stability
  • B. Existing circumstances may be accepted as givens. The focus may be to make adjustments within those limits, instead of challenging the limits.
  • C. One must master many interventive skills to address issues at all system levels which is not realistic.
  • D. There is an inattention to power differences in family and in the community regarding interpretations
Correct Answer: D

Rationale: Attention to power differences is a strength, not a pitfall, of ecosystems theory.

----% have mild intellectual disability:

  • A. 88
  • B. 89
  • C. 85
  • D. 86
Correct Answer: C

Rationale: About 85% of those with intellectual disability have mild forms, manageable with support.

The theorist who believes in moral reasoning is

  • A. Sigmund Freud
  • B. Lawrence Kohlberg
  • C. Abraham Maslow
  • D. Erik Erikson
Correct Answer: B

Rationale: Lawrence Kohlberg's stages of moral reasoning build on cognitive development.

A patient admitted yesterday for injuries sustained in a fall while intoxicated believes bugs are crawling on the bed. The patient is anxious, agitated, and diaphoretic. What is the priority nursing diagnosis?

  • A. Ineffective airway clearance
  • B. Ineffective coping
  • C. Ineffective denial
  • D. Risk for injury
Correct Answer: D

Rationale: The correct answer is D: Risk for injury. This is the priority nursing diagnosis because the patient's current state of agitation and anxiety, coupled with the belief of bugs crawling on the bed, poses an immediate risk for self-injury. The patient's altered mental status and intoxication increase the likelihood of accidental harm.

Explanation for other choices:
A: Ineffective airway clearance - While this is always a critical concern, the patient's current presentation does not indicate any immediate threat to the airway.
B: Ineffective coping - While the patient may be experiencing distress, the primary focus should be on addressing the risk of injury given the patient's altered mental status.
C: Ineffective denial - While the patient may be experiencing hallucinations, the primary concern is the risk of injury rather than the patient's denial of the situation.

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