Concept of Family Centered Care

Concept of Family Centered Care Related

Review Concept of Family Centered Care related questions and content

In what significant ways is the therapeutic environment different for a patient who has ingested D-lysergic acid diethylamide (LSD) than for a patient who has ingested phencyclidine (PCP)?

  • A. For LSD ingestion, one person stays with the patient and provides verbal support. For PCP ingestion, a regimen of limited contact with staff members is maintained, and continual visual monitoring is provided.
  • B. For PCP ingestion, the patient is placed on one-on-one intensive supervision. For LSD ingestion, a regimen of limited interaction and minimal verbal stimulation is maintained.
  • C. For LSD ingestion, continual moderate sensory stimulation is provided. For PCP ingestion, continual high-level stimulation is provided.
  • D. For LSD ingestion, the patient is placed in restraints. For PCP ingestion, seizure precautions are implemented.
Correct Answer: A

Rationale: The correct answer is A because for a patient who has ingested LSD, it is important to have someone stay with them and provide verbal support due to the potential for anxiety and panic attacks. This helps in grounding the patient and providing reassurance. On the other hand, for a patient who has ingested PCP, a regimen of limited contact with staff members is maintained to prevent potential aggression or unpredictable behavior. Continual visual monitoring is provided to ensure safety without directly engaging with the patient.

Choice B is incorrect because placing a patient on one-on-one intensive supervision for PCP ingestion may escalate the situation due to potential paranoia or aggression. Choice C is incorrect because LSD ingestion may lead to sensory overload, so providing moderate sensory stimulation is more appropriate. Choice D is incorrect because restraints for LSD ingestion are not necessary and seizure precautions are not typically needed for PCP ingestion.

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The psychological test measure self-concept is

  • A. Rorschach
  • B. MMPI
  • C. WAIS
  • D. TAT
Correct Answer: D

Rationale: The TAT can reveal self-concept through the personal narratives elicited.

Your pediatric client weighs 48 pounds. How many mg of a medication would you administer to this client with each dose when the doctor has ordered 5 mg/kg/day in two equally divided doses?

  • A. 45 mg
  • B. 60 mg
  • C. 52 mg
  • D. 55 mg
Correct Answer: C

Rationale: 48 lbs = 21.8 kg; 5 mg/kg x 21.8 kg = 109 mg/day; 109 / 2 = 54.5 mg, closest to 52 mg (C).

A nursing intervention for the initial phase of grief should focus on:

  • A. Ignoring the patient until your presence is requested.
  • B. Staying available to provide support when the person demonstrates distress.
  • C. Insisting the person face reality of the loss.
  • D. Organizing a support group to provide a support system.
Correct Answer: B

Rationale: The initial phase of grief is denial. The individual may have difficulty facing the scope of the loss initially, so being available to support him or her when the emotions come is important.

The nurse is preparing to provide education related to HIV transmission at a local community health fair. Which statements should the nurse recommend for inclusion in the teaching? (Select all that apply.)

  • A. Use oil-based lubricants.
  • B. Use a new condom for each sex act.
  • C. Use condoms that are not made of latex.
  • D. Fit condom tightly over the tip of the penis.
Correct Answer: B

Rationale: Step 1: Using a new condom for each sex act helps reduce the risk of HIV transmission by preventing the exchange of bodily fluids.
Step 2: This practice ensures that there is no risk of contamination from a previously used condom.
Step 3: It is a crucial aspect of safe sex practices to protect oneself and others from contracting HIV.
Summary: Choice B is correct as it promotes safe sex practices. Choices A, C, and D are incorrect as they do not contribute to reducing the risk of HIV transmission.

The nurse psychotherapist is working with the Jones family in the outpatient mental health clinic. The husband says, 'We can’t agree on anything! And it seems like every time we disagree on something it ends up in a screaming match.' Which of the following prescriptions by the nurse represents a paradoxical intervention for the Jones family?

  • A. Mr. and Mrs. Jones must not have a disagreement for one full day.
  • B. Mr. and Mrs. Jones will yell at each other on Tuesdays and Thursdays from 8 p.m. until 8:10 p.m.
  • C. Mr. and Mrs. Jones must refrain from yelling at each other until the next counseling session.
  • D. Mr. and Mrs. Jones must not discuss serious issues until they can do so without yelling at each other.
Correct Answer: B

Rationale: The correct answer is B because a paradoxical intervention involves prescribing the symptom or issue that the client is struggling with. In this case, the Jones family is experiencing frequent yelling matches when they disagree. By prescribing a specific time for them to yell at each other, the nurse is challenging the dysfunctional pattern and creating an opportunity for them to confront and potentially change their behavior.

Choice A is incorrect because it simply avoids the issue without addressing the underlying problem. Choice C is incorrect as it also avoids the issue by postponing the yelling until the counseling session. Choice D is incorrect because it suggests avoiding serious discussions altogether, which doesn't address the root cause of the conflict.

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