Concept of Family Centered Care

Concept of Family Centered Care Related

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Amanda’s mobile home was destroyed by a tornado. Amanda received only minor injuries, but is experiencing disabling anxiety in the aftermath of the event. This type of crisis is called:

  • A. Crisis resulting from traumatic stress
  • B. Maturational/developmental crisis
  • C. Dispositional crisis
  • D. Crisis of anticipated life transitions
Correct Answer: A

Rationale: The correct answer is A: Crisis resulting from traumatic stress. This is because Amanda's anxiety is a direct result of the traumatic event of her mobile home being destroyed by a tornado. Traumatic stress can lead to emotional and psychological distress, such as anxiety, following a life-threatening or traumatic event.

Choices B, C, and D are incorrect:
B: Maturational/developmental crisis refers to crises that arise from normal life transitions or developmental stages. Amanda's situation is not a result of a typical life transition.
C: Dispositional crisis is a result of pre-existing personality characteristics or coping strategies. Amanda’s crisis is not due to her inherent disposition.
D: Crisis of anticipated life transitions involves stress related to expected life changes. Amanda's situation was unexpected due to the tornado and not a planned life transition.

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Which mode of decisionmaking is prevalent among families of Asian Indian origin?

  • A. Individual deliberation
  • B. Conscious belief-based deliberation
  • C. Instinct-based deliberation
  • D. Communal deliberation
Correct Answer: D

Rationale: Communal decision-making is typical in Asian Indian families, involving multiple members.

A patient in an alcohol rehabilitation program says, 'I have been a loser all my life. I’m so ashamed of what I have put my family through. Now, I’m not even sure I can succeed at staying sober.' Which nursing diagnosis applies?

  • A. Chronic low self-esteem
  • B. Situational low self-esteem
  • C. Disturbed personal identity
  • D. Ineffective health maintenance
Correct Answer: A

Rationale: The correct answer is A: Chronic low self-esteem. The patient's statement reflects long-standing feelings of inadequacy and worthlessness, indicating a chronic issue rather than a temporary situation (situational low self-esteem). The statement also reveals a negative perception of self, which aligns with chronic low self-esteem. Disturbed personal identity refers to confusion in one's sense of self, which is not evident in the patient's statement. Ineffective health maintenance pertains to the inability to identify, manage, and seek help for health problems, which is not the primary issue in this scenario. Therefore, A is the most appropriate nursing diagnosis.

When working with a patient beginning treatment for alcohol dependence, what is the nurse’s most therapeutic approach?

  • A. Empathetic, supportive
  • B. Strong, confrontational
  • C. Skeptical, guarded
  • D. Cool, distant
Correct Answer: A

Rationale: The correct answer is A: Empathetic, supportive. This approach establishes trust, shows understanding, and promotes open communication. Empathy helps build a therapeutic relationship, which is crucial in treating alcohol dependence. Being supportive encourages the patient to feel safe and willing to discuss their issues. Strong, confrontational (B) may lead to resistance and defensiveness. Skeptical, guarded (C) can create barriers and hinder progress. Cool, distant (D) may make the patient feel isolated and unsupported. Overall, empathy and support create a positive and collaborative therapeutic environment.

A patient with HIV asks the nurse if thinking about dying frequently is common with HIV. What is an appropriate response by the nurse?

  • A. HIV is a serious disease that results in death.'
  • B. Thinking about death will not change the prognosis.'
  • C. HIV is now considered a chronic disease with treatment.'
  • D. HIV has a very high mortality rate, so it is realistic to plan for death.'
Correct Answer: C

Rationale: Rationale for Correct Answer C:
1. HIV is now considered a chronic disease with treatment, meaning many individuals can live long and healthy lives with proper medical care.
2. By informing the patient that HIV is a chronic disease, the nurse can provide reassurance and hope.
3. Acknowledging the patient's concerns while highlighting the positive advancements in HIV care can help alleviate anxiety and provide comfort.

Summary of Incorrect Choices:
A: This answer instills fear without providing accurate information about the current state of HIV treatment.
B: This answer dismisses the patient's concerns and does not offer any constructive information or support.
D: This answer is misleading as HIV mortality rates have significantly decreased with advancements in treatment, and planning for death should not be the primary focus for individuals living with HIV.

Marriage appears to be in decline because

  • A. The proportion of people living alone has fallen to $29\%$
  • B. Many people are cohabiting in long term relationships
  • C. The upward curve of remarriages compensates for the drop in first marriages
  • D. All of these are correct
Correct Answer: B

Rationale: Cohabitation's rise contributes to marriage's perceived decline.

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