Concept of Family Health Care

Concept of Family Health Care Related

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A patient is admitted in a comatose state after ingesting 30 capsules of pentobarbital sodium. A friend of the patient says, 'Often my friend drinks, along with taking more of the drug than is ordered.' What is the effect of the use of alcohol with this drug?

  • A. The drug’s metabolism is stimulated.
  • B. The drug’s effect is diminished.
  • C. A synergistic effect occurs.
  • D. There is no effect.
Correct Answer: C

Rationale: The correct answer is C: A synergistic effect occurs. When alcohol is consumed with pentobarbital sodium, both substances depress the central nervous system. This results in an enhanced sedative effect, leading to respiratory depression, coma, and potentially death. The combined effect of the two substances is greater than the sum of their individual effects. Choices A and B are incorrect as alcohol does not stimulate the metabolism of pentobarbital sodium nor diminish its effect. Choice D is also incorrect as there is a significant effect when alcohol is combined with this drug.

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You are the registered nurse in a multi ethnic community health department clinic. In this role you are asked to identify clients who have genetic risk factors related to ethnicity in order to screen them for some commonly occurring diseases and disorders. You would identify a client who is of:

  • A. Mediterranean ethnicity for cystic fibrosis.
  • B. African American ethnicity for Tay Sachs disease.
  • C. British Isles ethnicity for psychiatric mental health disorders.
  • D. Saudi Arabian ethnicity for sickle cell anemia.
Correct Answer: D

Rationale: Sickle cell anemia is more prevalent in individuals of Saudi Arabian descent.

Which of the following is unlikely to influence the doctor-patient relationship?

  • A. The cleanliness of the office
  • B. Physician's bias toward patients
  • C. Past experiences of patients
  • D. Personal prejudices of patients against certain ethnic groups
Correct Answer: A

Rationale: Office cleanliness has minimal direct impact compared to interpersonal factors.

Which of these is not one of the principles that underlie Fellin's multicultural perspective

  • A. It should be inclusive of all subcultural groups that are viewed as distinct yet interdependent with mainstream US culture
  • B. It should recognize that not all members of US society engage in relationships within their various cultures and in relation to a mainstream US culture
  • C. It should recognize the changing nature of US society as it is continually influenced by all of its subcultures
  • D. The relationship the Social Worker has with one or two family members influences his or her alliance with other family members in a linear fashion.
Correct Answer: D

Rationale: Fellin's principles focus on societal dynamics, not linear therapeutic relationships.

Individuals develop their self-efficacy beliefs by interpreting information from four main sources of influence:

  • A. Albert Bandura 1967
  • B. Albert Bandura 1697
  • C. Albert Bandura 1977
  • D. Albert Einstein 1977
Correct Answer: C

Rationale: Bandura outlined 4 self-efficacy sources (mastery, vicarious, persuasion, emotion) in 1977.

he theorist who believes that human have free will is

  • A. Sigmund Freud
  • B. Carl Rogers
  • C. B.F. Skinner
  • D. Albert Bandura
Correct Answer: B

Rationale: Carl Rogers' humanistic theory emphasizes free will and agency.

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