Family Centered Care in Nursing

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Maria is an Italian American who is in the hospital after having suffered a miscarriage at 5 months' gestation. Her room is filled with relatives who have brought a variety of foods and gifts for Maria. They are all talking, seemingly at the same time, and some, including Maria, are crying. They repeatedly touch and hug Maria and each other. How should the nurse handle this situation?

  • A. Explain to the family that Maria needs her rest and they must all leave.
  • B. Allow the family to remain and continue their activity as described, as long as they do not disturb other clients.
  • C. Explain that Maria will not get over her loss if they keep bringing it up and causing her to cry so much.
  • D. Call the family priest to come and take charge of this family situation.
Correct Answer: B

Rationale: The family's behavior reflects a cultural norm of Italian Americans to express grief and support through physical closeness and communal interaction, which is not disruptive. Allowing this to continue respects cultural practices and supports Maria's emotional needs, aligning with option b.

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Old people have low tolerance to blaring music because

  • A. The vibrations are too fast to hear properly
  • B. One in four
  • C. They need more sleep, and loud music interferes
  • D. All of these
Correct Answer: C

Rationale: Age-related hearing changes and sleep needs reduce tolerance for loud music.

What is the expected date of delivery for your pregnant client when her last menstrual period was on 10/20/2016?

  • A. 7/7/2017
  • B. 8/7/2017
  • C. 6/7/2017
  • D. 8/1/2017
Correct Answer: A

Rationale: Using Naegele's rule, the due date is calculated as July 7, 2017.

Bandura (1997) defined collective efficacy as:

  • A. A group's shared belief in its conjoint capabilities to organise and execute the course of action required to produce given levels of attainments
  • B. A group's belief in its capabilities to beat others
  • C. A group's ability to be successful
  • D. A group's belief in the ability of the team's most successful player
Correct Answer: A

Rationale: Collective efficacy (Bandura, 1997) is a group's shared belief in its collective capabilities.

ld people have low tolerance to blaring music because

  • A. The vibrations are too fast for them to hear properly
  • B. One in four
  • C. They need more sleep and loud music does not allow that
  • D. All of these
Correct Answer: C

Rationale: Age-related hearing changes and sleep needs reduce tolerance for loud music in the elderly.

Prior to the physical examination of a Muslim adolescent patient, which of the following statements should be clarified to the patient and his/her parent?

  • A. The examination is not critical to the patient's immediate treatment
  • B. Proper draping is optional for the examination
  • C. The parent may not be in the room with the patient during the examination
  • D. They can express concerns about any part of the exam at any time
Correct Answer: D

Rationale: Allowing concerns to be voiced respects modesty and builds trust in Muslim patients.

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