Concept of Family Health Care

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According to the World Health Organization study, which nursing activity addresses the number one psychiatric cause of disability in the world today?

  • A. Arranging for a client's transportation to Alcoholics Anonymous meetings
  • B. Helping the family understand their mother's obsessive-compulsive disorder
  • C. Offering a depression screening at a local school for students in grades 8 through 12
  • D. Providing nursing care at a free clinic that serves the schizophrenic population in a large city
Correct Answer: C

Rationale: The correct answer is C because offering a depression screening at a local school for students in grades 8 through 12 addresses the number one psychiatric cause of disability in the world today, according to the World Health Organization study. Depression screening in schools can help identify mental health issues early, leading to timely intervention and support for students. This proactive approach aligns with the WHO's focus on addressing mental health challenges globally.

Choices A, B, and D are incorrect because they do not directly address the number one psychiatric cause of disability as identified by the WHO study. Arranging transportation to Alcoholics Anonymous meetings, helping a family understand OCD, and providing nursing care for the schizophrenic population are important activities but do not specifically target the primary psychiatric cause of disability worldwide.

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A nurse talks with a person whose spouse died suddenly while jogging. Which is the appropriate statement for the nurse?

  • A. At least your spouse did not suffer.
  • B. It's better to go quickly as your spouse did.
  • C. The loss of your spouse must be very painful for you.
  • D. You'll begin to feel better after you get over the shock.
Correct Answer: C

Rationale: The most helpful responses by others validate the bereaved persons experience of loss. Avoid banalities; they increase the individuals sense of isolation.

The first thing that you should do immediately after a client accident is to:

  • A. Notify the doctor.
  • B. Render care.
  • C. Assess the cleint.
  • D. Notify the nurse manager.
Correct Answer: C

Rationale: Assessing the client is the immediate priority after an accident.

An older adult client has been asked to participate in a randomized controlled trial (RCT) related to the development of a new psychotropic medication. The nurse responsibly acts as the client's advocate when:

  • A. Reassuring the client that the process of RCTs is a perfectly safe one.
  • B. Explaining to the client the possible risks involved in participating in this particular RCT.
  • C. Educating the client's family concerning the details of participating in such a medication-focused RCT.
  • D. Assessing the degree of understanding the client has about what a medication-focused RCT will involve.
Correct Answer: D

Rationale: The correct answer is D because assessing the client's understanding is crucial to ensure informed consent and autonomy. By assessing the client's comprehension, the nurse can verify if the client is aware of the potential risks, benefits, and procedures involved in the RCT. This step is essential to uphold the client's rights and ensure they make an informed decision.

Choice A is incorrect because it does not address the importance of assessing the client's understanding and may provide false reassurance. Choice B is incorrect as it only focuses on explaining risks without assessing the client's comprehension. Choice C is incorrect as educating the family does not ensure the client's understanding and involvement in decision-making.

The difference between child abuse and child neglect is:

  • A. Abuse is done on purpose; neglect is accidental.
  • B. Abuse is an act of commission; neglect is an act of omission.
  • C. Abuse is a crime; neglect is not.
  • D. Children are often afraid to report abuse, but are willing to report neglect.
Correct Answer: B

Rationale: Abuse is purposeful mistreatment of another (therefore commission) and neglect is deprivation that is an omission of needed care.

There are ----------------types of family based on residence:

  • A. 5
  • B. 2
  • C. 4
  • D. 3
Correct Answer: D

Rationale: Family types by residence are 3: matrilocal, patrilocal, and neolocal.

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