Core Concepts of Family Centered Care

Core Concepts of Family Centered Care Related

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Mrs Wang is a retired teacher and used to take trips on cruise ships with her friends to gamble at the casino. She now goes to the local casino every other day by herself and is preoccupied with gambling. Her problem surfaced when she was caught on the closed circuit camera for trying to steal casino chips. Her husband was at a loss and reports that she keeps talking about gambling and boasts to her friends about the large amounts she places per bet. Her luck has turned for the worse, but she insists on going back to 'recoup' her losses. She has pawned most of her jewelry, stopped seeing her friends, and lies to her family about the amounts she has lost. Mrs Wang has features of a

  • A. Social gambler.
  • B. At risk gambler.
  • C. Problem gambler.
  • D. Pathological gambler.
Correct Answer: D

Rationale: Mrs. Wang's preoccupation, theft, financial loss, and deceit indicate pathological gambling, a severe disorder per DSM-5 criteria.

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The most appropriate crisis intervention with Amanda (from question 3) would be to:

  • A. Encourage her to recognize how lucky she is to be alive.
  • B. Discuss stages of grief and feelings associated with each.
  • C. Identify community resources that can help Amanda.
  • D. Suggest that she find a place to live that provides a storm shelter.
Correct Answer: C

Rationale: The correct answer is C because identifying community resources can provide immediate support and assistance to Amanda during the crisis. This approach focuses on practical help and solutions tailored to her specific needs. Encouraging her to recognize her luck (A) may invalidate her feelings, discussing grief stages (B) may not address her immediate needs, and suggesting finding a place with a storm shelter (D) does not directly address her current crisis.

The child's ability to understand consequences develops during

  • A. Sensorimotor
  • B. Preoperational
  • C. Concrete operational
  • D. Formal operational
Correct Answer: C

Rationale: Understanding consequences, tied to logical thinking, develops in the concrete operational stage (Piaget).

----aims at discussing and understanding the problem, advising and empowering him to take a decision concerning his/her career or life goals in one-to-one sessions:

  • A. Guidance
  • B. Counseling
  • C. Advice
  • D. Advise
Correct Answer: B

Rationale: Counseling empowers decision-making through one-on-one problem exploration (Rogers).

Ethnic minorities are often victims of stigmatization regarding their mental illnesses. The nurse initially addresses this potential problem by:

  • A. Informing a client of his civil rights.
  • B. Educating a client as to various available counseling services.
  • C. Discussing with the client how family and friends are reacting to his illness.
  • D. Helping the client develop the confidence to stand up for himself.
Correct Answer: C

Rationale: The correct answer is C because discussing how family and friends are reacting to the client's illness helps identify potential sources of stigma and provides insight into the client's support system. This allows the nurse to address specific issues and provide appropriate interventions. Option A is incorrect as civil rights may not directly address stigma. Option B focuses on counseling services but doesn't directly address stigma. Option D addresses confidence but may not directly tackle the issue of stigma faced by ethnic minorities.

The psychosexual stage associated with toilet training is

  • A. Oral
  • B. Anal
  • C. Phallic
  • D. Genital
Correct Answer: B

Rationale: The anal stage (1-3 years, Freud) involves control over bodily functions.

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