Concept of Family Health Care

Concept of Family Health Care Related

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A young adult tells the nurse at the local free clinic that he is currently living in his car and panhandling for money. The nurse asks the individual the reason for his decision to live as he does. Which response will the nurse follow up on to determine if the individual is experiencing mental health issues?

  • A. I'll live in a house and get a job when the government gives everyone those opportunities.'
  • B. I live like this for 3 months each year just to remind myself how much I really have.'
  • C. This way they can't find me and if they can't find me they can't hurt me.'
  • D. The law says I can live any way I want to as long as I'm not hurting anyone.'
Correct Answer: C

Rationale: The correct answer is C because the response indicates a potential underlying fear of being harmed, which could suggest paranoia or anxiety related to mental health issues. This response shows a sense of vulnerability and a need for safety by avoiding potential harm. Choices A and D do not directly address any mental health concerns but rather focus on external factors and legalities. Choice B suggests a purposeful and temporary choice that does not indicate mental health issues. Therefore, the nurse should follow up on choice C to further assess the individual's mental well-being.

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Positive and negative in the physical, emotional, intellectual, and functional dimensions change over time:

  • A. Self-concept
  • B. Self-identity
  • C. Self-assessment
  • D. Self-esteem
Correct Answer: D

Rationale: Self-esteem reflects positive/negative evaluations across dimensions, changing over time.

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.

Which nursing-focused activity is best directed toward the future of evidence-based psychiatric nursing practice?

  • A. Offering depression screening to all ages on a regular basis
  • B. Working towards an advanced practice psychiatric nursing degree
  • C. Discussing nursing interventions with the client's multidisciplinary care team
  • D. Re-evaluating the validity of traditionally accepted psychiatric nursing care interventions
Correct Answer: D

Rationale: The correct answer is D because re-evaluating the validity of traditionally accepted psychiatric nursing care interventions aligns with evidence-based practice principles. By critically examining current practices and seeking evidence to support them, nurses can ensure that interventions are based on the best available evidence.

A: Offering depression screening is important but does not specifically address evidence-based practice for psychiatric nursing.
B: Pursuing an advanced practice degree is beneficial for individual growth but does not directly impact evidence-based practice for the field.
C: Discussing nursing interventions with the care team is collaborative but may not necessarily focus on evidence-based practice specifically.

The nurse is contributing to a teaching plan. What information should the nurse include that identifies the methods in which HIV can be transmitted? (Select all that apply.)

  • A. Urine
  • B. Sweat
  • C. Saliva
  • D. Semen
Correct Answer: D

Rationale: Step 1: HIV is primarily transmitted through body fluids containing high concentrations of the virus, such as semen.
Step 2: Semen contains a high viral load, making it a common mode of HIV transmission.
Step 3: Other body fluids like urine, sweat, and saliva do not typically contain high enough levels of the virus to transmit HIV.
Step 4: Therefore, option D (Semen) is correct as it aligns with the established modes of HIV transmission.
Summary: Urine, sweat, and saliva do not pose a significant risk for HIV transmission due to their low viral load. Semen, on the other hand, contains high concentrations of the virus, making it a primary mode of transmission.

Physicians should examine the ecological/environmental context of patients before which of the following?

  • A. Performing a physical examination
  • B. Asking the patient to state the purpose of the visit
  • C. Meeting the patient for the first time
  • D. Discussing a therapeutic plan
Correct Answer: D

Rationale: Context informs effective, tailored therapeutic planning.

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