Core Concepts of Patient Family Care

Core Concepts of Patient Family Care Related

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It has been estimated that 20%, or 45 million, adults ages 18 or older in the United States have experienced a mental illness in the past year. Which nursing intervention is directed toward addressing the greatest barrier to successful treatment outcomes for these individuals?

  • A. Educating clients as to the importance of completing their treatment recommendations
  • B. Identifying resources where medications can be secured at reduced or no cost
  • C. Actively involving the client in the planning of his or her mental health care
  • D. Evaluating the client for compliance with his or her plan of care frequently
Correct Answer: A

Rationale: The correct answer is A: Educating clients as to the importance of completing their treatment recommendations. This intervention is crucial because lack of understanding about the importance of completing treatment can lead to non-compliance, which is a significant barrier to successful treatment outcomes. By educating clients, nurses can empower them to take ownership of their health and adhere to their treatment plans.

Choice B is incorrect because while identifying resources for medications is important, it may not address the underlying issue of non-compliance. Choice C, involving the client in planning care, is important but may not directly address non-compliance. Choice D, evaluating compliance frequently, is necessary but does not address the root cause of non-compliance. Therefore, the most effective intervention is to educate clients about the importance of completing their treatment recommendations.

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At this stage the group members will begin to develop a feeling of group cohesion and identity:

  • A. Forming
  • B. Storming
  • C. Norming
  • D. Performing
Correct Answer: C

Rationale: Norming (Tuckman) fosters cohesion and a unified group identity through shared norms.

Describe the focus and issues typical of Level 3 families.

  • A. Basic survival and safety concerns
  • B. Relational conflicts like marital issues
  • C. Identity, intimacy, and self-esteem
  • D. Philosophical and existential questions
Correct Answer: C

Rationale: Level 3 families focus on personal growth and individuation, with issues like identity and intimacy, requiring introspective interventions rather than survival or relational fixes.

Mr. and Mrs. Smith and their three children (ages 5, 8, and 10) are in therapy with the nurse psychotherapist. Mrs. Smith tells the nurse that their marriage has been 'falling apart' since the birth of their youngest child, Tom. She explains that they 'did not want a third child, and I became pregnant even after my husband had undergone a vasectomy. We were very angry, the pregnancy was a problematic one, and the child has been difficult since birth. We had problems before he was born, but since Tom was born, things have gone from bad to worse. No one can control him, and he is wrecking our family!' The nurse assesses that which of the following may be occurring in this family?

  • A. Scapegoating
  • B. Triangling
  • C. Disengagement
  • D. Enmeshment
Correct Answer: A

Rationale: The correct answer is A: Scapegoating. Scapegoating occurs when one family member is blamed for the family's issues. In this case, Tom, the youngest child, is being blamed for the family's problems since his birth. Mrs. Smith explicitly states that they did not want a third child and that Tom has been difficult since birth. By blaming Tom for the family's issues, the family is using him as a scapegoat to avoid addressing their underlying problems. This behavior can negatively impact Tom's self-esteem and create further dysfunction within the family dynamics.

Incorrect Choices:
B: Triangling involves involving a third person in a conflict to avoid directly addressing the issue. While the family dynamics may involve triangulation, the primary issue here is scapegoating.
C: Disengagement refers to emotional withdrawal and lack of involvement in family dynamics. This does not align with the scenario provided.
D: Enmeshment is when boundaries between family members are blurred, leading to a

Which of the following actions demonstrates that the nurse has an understanding of the impact that continued advancements in psychopharmacology has on both client outcomes and professional psychiatric nursing practice?

  • A. Working towards achieving advanced practice nursing credentials in psychiatric nursing
  • B. Stressing the importance of medication therapy compliance with each client upon discharge
  • C. Participating in interdisciplinary treatment teams as a means of staying current regarding the latest clinical treatments and guidelines
  • D. Accessing information on the best evidence-based practices regarding the psychopharmacology medications being prescribed to his or her clients
Correct Answer: D

Rationale: Step-by-step rationale for why Answer D is correct:
1. Accessing information on evidence-based practices shows the nurse's commitment to staying informed about psychopharmacology advancements.
2. Being knowledgeable about medications helps in making informed decisions for client care, ultimately leading to better outcomes.
3. Understanding evidence-based practices enhances the nurse's ability to provide safe and effective medication management.
4. By accessing information on best practices, the nurse demonstrates a proactive approach to enhancing professional psychiatric nursing practice.

Summary:
Answer D is correct because it directly addresses the impact of advancements in psychopharmacology on client outcomes and professional psychiatric nursing practice by emphasizing the importance of staying informed and using evidence-based practices. Other choices do not specifically highlight the nurse's understanding of the impact of psychopharmacology advancements.

Children develop a sense of initiative between:

  • A. 0-1 year
  • B. 1-3 years
  • C. 3-5 years
  • D. 5-7 years
Correct Answer: C

Rationale: Erikson's initiative vs. guilt stage (3-5 years) fosters a sense of purpose and initiative.

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