Core Concepts of Patient Family Care

Core Concepts of Patient Family Care Related

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A patient who has HIV asks the nurse why blood work has to be done so frequently. Which response should the nurse make to the patient?

  • A. B-lymphocyte levels increase if you have an acute infection.'
  • B. Phagocytes are decreased when the disease is in an active phase.'
  • C. Neutrophil counts help the doctor titrate medication levels to keep you healthy.'
  • D. CD4+ lymphocyte counts are monitored to determine the progression of the disease.'
Correct Answer: D

Rationale: The correct answer is D because monitoring CD4+ lymphocyte counts is crucial in managing HIV. CD4+ cells are the primary target of the HIV virus, and their count reflects the status of the immune system and disease progression. By tracking CD4+ levels, healthcare providers can determine the need for antiretroviral therapy and assess the effectiveness of treatment.

Choice A is incorrect because B-lymphocytes are not typically used to monitor HIV progression. Choice B is incorrect as phagocytes are not specifically related to HIV disease progression. Choice C is incorrect as neutrophils are not the primary indicator for managing HIV.

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Which of the following factors is most likely to contribute to the minimization of the significance of a patient's symptoms by a health care provider?

  • A. Middle age
  • B. Female gender
  • C. High income
  • D. Caucasian race
Correct Answer: B

Rationale: Female gender is often linked to symptom minimization due to bias.

Shaken baby syndrome refers to:

  • A. The increasing rate of epilepsy and other seizure disorders in infants born to mothers with a history of psychiatric disorders.
  • B. A form of child abuse in which a baby is shaken hard enough to cause trauma and death.
  • C. The physical and developmental problems faced by infants of drug-addicted mothers.
  • D. The psychological trauma that children experience from perceived threats to their safety.
Correct Answer: B

Rationale: Shaken baby syndrome occurs when a caregiver shakes a child to control crying. It is a form of child abuse.

Self is an ongoing process that combines the 'I' and 'ME'. The 'I' refers to

  • A. The image we have of how other people react to us
  • B. The spontaneous force that fosters unpredictable behavior
  • C. Both of these
  • D. None of these
Correct Answer: B

Rationale: The 'I' (Mead) is the spontaneous, unscripted aspect of self.

The child's ability to understand time sequence develops during

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

Rationale: Time sequencing matures in the concrete operational stage with logical thinking (Piaget).

What cardiovascular medication is often prescribed for persons suffering from opioid withdrawal, side effects of clozapine, or ADHD?

  • A. Clonidine (Catapres)
  • B. Valium
  • C. Thyroid function
  • D. Fatigue
Correct Answer: A

Rationale: The correct answer is A: Clonidine (Catapres). Clonidine is often prescribed for opioid withdrawal as it helps with symptoms like anxiety and agitation. It is also used for managing side effects of clozapine such as drooling and sedation. Additionally, Clonidine can be beneficial for individuals with ADHD by improving focus and impulsivity. Valium (B) is a benzodiazepine used for anxiety, not specifically for these conditions. Thyroid function (C) and fatigue (D) are not medications and are unrelated to the conditions mentioned.

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