Concept of Family Health Nursing Care

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Currently, the mental health system in the United States focuses on managing client disabilities. It has been suggested that the focus be changed. Which nursing intervention demonstrates an attempt to work toward that recommended focus?

  • A. Assessing the depressed client often for suicidal ideations
  • B. Teaching stress management techniques to new mothers
  • C. Sharing the client's wish that his medications be provided in liquid form if possible
  • D. Discussing with the client when his follow-up mental health visit can be scheduled
Correct Answer: B

Rationale: The correct answer is B because teaching stress management techniques to new mothers promotes prevention and empowerment, aligning with the shift towards preventive mental health care. By educating mothers on managing stress, potential mental health issues can be addressed proactively.

Rationale for other choices:
A: Assessing for suicidal ideations is important for safety but focuses on managing existing disabilities rather than preventive care.
C: Accommodating a client's preference for liquid medications is client-centered care, but does not necessarily shift the focus towards prevention.
D: Scheduling a follow-up visit ensures continuity of care but does not address preventive measures.

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A nurse is called to the home of a neighbor and finds an unconscious person still holding a medication bottle labeled pentobarbital sodium. What is the nurse’s first action?

  • A. Test reflexes
  • B. Check pupils
  • C. Initiate vomiting
  • D. Establish a patent airway
Correct Answer: D

Rationale: The correct answer is D: Establish a patent airway. The first action in any emergency situation involving an unconscious person is to ensure their airway is open and clear to facilitate breathing. This is crucial for maintaining oxygenation and preventing potential complications like hypoxia. Testing reflexes (A) and checking pupils (B) are important assessments but not the immediate priority in this situation. Initiating vomiting (C) is contraindicated as it can lead to further complications, especially if the person has ingested a potentially harmful substance.

The theorist associated with social learning theory is

  • A. Sigmund Freud
  • B. B.F. Skinner
  • C. Albert Bandura
  • D. Ivan Pavlov
Correct Answer: C

Rationale: Bandura's social learning theory emphasizes observation.

Select the age group that is accurately paired with the normal and recommended hours of sleep each day.

  • A. The neonate: 10 to 15 hours a day
  • B. The toddler: 11 to 14 hours a day
  • C. The preschool child: 12 to 15 hours a day
  • D. The school age child: Less than 8 hours a day
Correct Answer: B

Rationale: Toddlers (B) need 11-14 hours of sleep daily.

Which statement made by a client who has been the victim of physical abuse by her partner supports the nurse's belief that the client has developed competence?

  • A. Women in my family seem to be destined to be victims.'
  • B. I have the strength to leave if I ever begin to feel threatened.'
  • C. My partner loves me but he has an anger management issue.'
  • D. He cares about me and has promised never to hurt me again.'
Correct Answer: B

Rationale: The correct answer is B because it demonstrates the client's understanding of her own agency and ability to take control of her situation. By acknowledging her strength to leave if she feels threatened, the client shows an awareness of her own capabilities and empowerment. This statement indicates that the client is moving towards autonomy and taking steps to ensure her safety.

Choice A reflects a sense of fatalism and resignation, which does not demonstrate competence. Choice C minimizes the abuse by attributing it to an external factor (anger management issue) rather than recognizing it as a pattern of behavior. Choice D relies on the abuser's promises rather than the client's own actions and decision-making, which does not indicate competence.

What type of antidepressant increases the availability of serotonin and norepinephrine by inhibiting enzymes that metabolize serotonin and norepinephrine?

  • A. Monoamine oxidase inhibitors (MAOIs)
  • B. Explosive occipital headache
  • C. Polyuria
  • D. Selective serotonin reuptake inhibitors (SSRIs)
Correct Answer: A

Rationale: The correct answer is A: Monoamine oxidase inhibitors (MAOIs). MAOIs work by inhibiting the enzyme monoamine oxidase, which is responsible for breaking down serotonin and norepinephrine. By inhibiting this enzyme, MAOIs increase the availability of serotonin and norepinephrine in the brain, leading to improved mood.

Incorrect choices:
B: Explosive occipital headache - This choice is irrelevant to the question and does not relate to antidepressants or neurotransmitter availability.
C: Polyuria - This choice is a symptom related to excessive urination and does not pertain to antidepressants or neurotransmitter metabolism.
D: Selective serotonin reuptake inhibitors (SSRIs) - While SSRIs also increase serotonin levels, they do so by blocking the reuptake of serotonin, not by inhibiting enzymes that metabolize serotonin and norepinephrine.

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