Concept of Family Health Nursing Care

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A teenager who has a history of alcohol abuse wants to host a holiday party at his home. In order to best implement family-based measures to prevent the use of alcohol or drugs the parents will:

  • A. Refuse to allow the teenager to host the party.
  • B. Insist upon being home and visible to the guests during the party.
  • C. Allow the party only if it is held at a public space such as a church recreation room.
  • D. Have all those attending sign a contract promising not to drink or use drugs during the party.
Correct Answer: B

Rationale: The correct answer is B because by insisting on being home and visible during the party, the parents can actively supervise and monitor the activities, deterring any alcohol or drug use. They can intervene promptly if any issues arise.

A: Refusing to allow the teenager to host the party may lead to rebellion and secretive behavior.
C: Allowing the party in a public space does not guarantee supervision or control over alcohol/drug use.
D: Having attendees sign a contract relies solely on their compliance without active supervision or monitoring.

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A nurse can assist a patient and family in which aspects of substance abuse relapse prevention? Select all that apply.

  • A. Rehearsing techniques to handle anticipated stressful situations
  • B. Advising the patient to accept residential treatment if relapse occurs
  • C. Assisting the patient to identify life skills needed for effective coping
  • D. Isolating self from significant others and social situations until sobriety is established
Correct Answer: A

Rationale: The correct answer is A because rehearsing techniques to handle stressful situations is a crucial aspect of substance abuse relapse prevention. By practicing coping strategies, the patient can effectively navigate triggers and prevent relapse.

Choices B, C, and D are incorrect:
B: Advising residential treatment is not a proactive relapse prevention strategy and does not empower the patient to manage triggers independently.
C: Identifying life skills is important, but alone it may not directly address relapse prevention techniques.
D: Isolating from support systems contradicts the importance of social support in recovery and may lead to feelings of loneliness and vulnerability, increasing the risk of relapse.

zcording to social interactional theory, human beings differ from animals because

  • A. Humans are only proactive and not reactive like animals
  • B. Human beings have the ability to take the role of others
  • C. Human show greater affection than animals
  • D. All of these are correct
Correct Answer: B

Rationale: Social interaction theory highlights humans' ability to role-take, a cognitive distinction from animals.

The psychological test that measures perception is

  • A. Rorschach
  • B. MMPI
  • C. WAIS
  • D. TAT
Correct Answer: A

Rationale: Rorschach assesses perception through inkblot interpretations.

Which of the following is an accurate statement about the Educational Commission for Foreign Medical Graduates (ECFMG)?

  • A. ECFMG assists with learning English as a second language
  • B. ECFMG fully prepares foreign graduates to discuss medical decision-making
  • C. Completion of the ECFMG is comparable to an immersion experience
  • D. Completion of the ECFMG may mask genuine problems with English fluency, which may affect doctor-patient communication
Correct Answer: D

Rationale: ECFMG certification may not fully address language barriers.

The Joint Commission on the Accreditation of Healthcare Organizations mandates standardized “hand of” change of shift reporting. Which of the following is a standardized “hand off” change of shift reporting system that you may want to consider for implementation on your nursing care unit?

  • A. The Four P's
  • B. UBAR
  • C. ISBAR
  • D. MAUMAR
Correct Answer: C

Rationale: ISBAR is a widely recognized handoff communication tool.

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