Concept of Family Health Nursing Care

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During the third week of treatment, the spouse of a patient in an alcoholism rehabilitation program says, 'After discharge, I’m sure everything will be just fine.' Which remark by the nurse will be most helpful to the spouse?

  • A. It is good that you’re supportive of your spouse’s sobriety and want to help maintain it.'
  • B. Although sobriety solves some problems, new ones may emerge as one adjusts to living without alcohol.'
  • C. It will be important for you to structure life to avoid as much stress as possible. You will need to provide social protection.'
  • D. Remember that alcoholism is a disease of self-destruction. You will need to observe your spouse’s behavior carefully.'
Correct Answer: B

Rationale: The correct answer is B because it acknowledges the spouse's optimism while also gently highlighting the potential challenges that may arise during the recovery process. By pointing out that new problems may emerge as the patient adjusts to a life without alcohol, the nurse prepares the spouse for potential difficulties and encourages realistic expectations.

Choice A is incorrect because it only acknowledges the spouse's support without addressing the potential challenges ahead. Choice C is incorrect because it focuses solely on stress avoidance rather than preparing for the overall adjustment process. Choice D is incorrect because it emphasizes monitoring the patient's behavior rather than addressing the spouse's outlook and potential struggles.

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An 11-year-old reluctantly tells the nurse, My parents dont like me. They said they wish I was never born. Which type of abuse is likely?

  • A. Sexual
  • B. Physical
  • C. Emotional
  • D. Economic
Correct Answer: C

Rationale: Examples of emotional abuse include having an adult demean a childs worth, frequently criticize, or belittle the child. No data support physical battering or endangerment, sexual abuse, or economic abuse.

Generalizing others' regarding this which of the following statements is true?

  • A. There is no 'ME' at birth, it is formed through continual symbolic interaction
  • B. The generalized other is really who we are
  • C. The 'I' is more important than 'ME' in forming our sense of self
  • D. Social expectations have a little impact on who we think we are
Correct Answer: A

Rationale: The 'ME' develops through social interaction (Mead).

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.

Your client in crisis is detaching from self. Which psychological ego defense mechanism is this client most likely using?

  • A. Displacement
  • B. Sublimation
  • C. Dissociation
  • D. Reaction formation
Correct Answer: C

Rationale: Dissociation (C) involves detaching from self in crisis.

Which level of Maslows hierarchy of need pyramid is necessary for survival?

  • A. Love and belonging
  • B. Physiological needs
  • C. Self-actualization
  • D. Safety and security
Correct Answer: B

Rationale: Physiological needs are the foundation of the pyramid; they must be met before any other needs can be addressed.

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