Core Concepts of Family Centered Care

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A patient was admitted 48 hours ago for injuries sustained while intoxicated. The patient is shaky, irritable, anxious, and diaphoretic. The pulse rate is 130 beats per minute. The patient shouts, 'Bugs are crawling on my bed. I’ve got to get out of here.' What is the most accurate assessment of the situation? The patient:

  • A. is attempting to obtain attention by manipulating staff.
  • B. may have sustained a head injury before admission.
  • C. has symptoms of alcohol withdrawal delirium.
  • D. is having a recurrence of an acute psychosis.
Correct Answer: C

Rationale: The correct answer is C: The patient has symptoms of alcohol withdrawal delirium. The presentation of shakiness, irritability, anxiety, diaphoresis, elevated heart rate, and hallucinations ('bugs are crawling on my bed') are classic signs of alcohol withdrawal delirium. Delirium tremens, a severe form of alcohol withdrawal, typically occurs 48-72 hours after the last drink and can be life-threatening. This patient's symptoms are consistent with the timeline and manifestations of alcohol withdrawal, requiring immediate medical intervention.

Incorrect answers:
A: Manipulating staff for attention is unlikely given the severity of the symptoms and the potential life-threatening nature of alcohol withdrawal delirium.
B: Head injury would not typically present with these specific symptoms and timeline.
D: Acute psychosis would not typically manifest with these specific symptoms in the context of alcohol intoxication and withdrawal.

You may also like to solve these questions

he theorist who believes that children actively construct knowledge is

  • A. Jean Piaget
  • B. B.F. Skinner
  • C. Albert Bandura
  • D. John Dewey
Correct Answer: A

Rationale: Piaget's constructivism posits that children actively build knowledge through interaction with their environment.

A patient who has AIDS has been instructed on foods to eat to reduce the risk of infection. Which foods should the patient select that indicates correct understanding of this teaching? (Select all that apply.)

  • A. Rare meat
  • B. Raw seafood
  • C. Soft egg yolks
  • D. Pasteurized milk
Correct Answer: D

Rationale: The correct answer is D: Pasteurized milk. This is because pasteurization kills harmful bacteria, making it safe for consumption by individuals with weakened immune systems like AIDS patients.

A: Rare meat and B: Raw seafood may contain harmful bacteria that can pose a risk of infection for AIDS patients.

C: Soft egg yolks may also contain harmful bacteria if not fully cooked, which can be dangerous for individuals with compromised immune systems.

In summary, pasteurized milk is the safest option as it eliminates the risk of bacterial contamination, while the other choices may increase the risk of infection for a patient with AIDS.

With growing age motivation reduces naturally

  • A. Extrinsic
  • B. Frequent
  • C. Intrinsic
  • D. Concentrated
Correct Answer: C

Rationale: Intrinsic motivation declines with age due to priority shifts.

What are the two species of structural dysfunction in SFT?

  • A. Conflictual and underorganized
  • B. Longstanding and recent
  • C. Enmity and disagreement
  • D. Community and family
Correct Answer: A

Rationale: Conflictual (overly rigid) and underorganized (too diffuse) are SFT's dysfunction types.

Using Bowen’s systems approach with a family in therapy, the therapist would:

  • A. Try to change family principles that may be promoting dysfunctional behavior patterns.
  • B. Strive to create change in destructive behavior through improvement in communication and interaction patterns.
  • C. Encourage increase in the differentiation of individual family members.
  • D. Promote change in dysfunctional behavior by encouraging the formation of more diffuse boundaries between family members.
Correct Answer: C

Rationale: The correct answer is C because in Bowen's systems approach, the therapist focuses on increasing the differentiation of individual family members. This means helping each member develop their own sense of self and become more autonomous within the family system. By doing so, family members can better manage their emotions and relationships, leading to healthier dynamics.

Choice A is incorrect because Bowen's approach does not aim to change family principles but rather focuses on individual growth within the family system. Choice B is incorrect because the emphasis is not solely on improving communication but rather on enhancing differentiation. Choice D is incorrect because promoting more diffuse boundaries can actually lead to further dysfunction, as Bowen's approach emphasizes strengthening individual boundaries for healthier family functioning.

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