Core Concepts of Family Centered Care

Core Concepts of Family Centered Care Related

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Police bring a patient to the emergency department after an automobile accident. The patient is ataxic with slurred speech and mild confusion. The blood alcohol level is 400 mg/dl (0.4 mg %). Considering the relationship between behavior and blood alcohol level, which conclusion can the nurse draw? The patient:

  • A. rarely drinks alcohol.
  • B. has a high tolerance to alcohol.
  • C. has been treated with disulfiram (Antabuse).
  • D. has recently ingested both alcohol and sedative drugs.
Correct Answer: B

Rationale: The correct answer is B: the patient has a high tolerance to alcohol. At a blood alcohol level of 400 mg/dl, most individuals would exhibit severe symptoms such as unconsciousness or coma. However, this patient only shows mild symptoms of ataxia, slurred speech, and confusion, indicating a high tolerance to alcohol. This high tolerance suggests that the patient regularly consumes large amounts of alcohol, leading to an adaptation in the body's response to alcohol.

Choice A is incorrect because a blood alcohol level of 400 mg/dl is indicative of significant alcohol consumption, contradicting the statement that the patient rarely drinks alcohol. Choice C is incorrect as disulfiram is used to treat alcohol dependence, not tolerance. Choice D is incorrect since sedative drugs would exacerbate the effects of alcohol, causing more severe symptoms than what is observed in this case.

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Before submitting your dissertation, you should ensure that:

  • A. Your writing is free of sexist, racist and disablist language
  • B. Other people have read your final draft
  • C. You have proofread it thoroughly
  • D. All of the them
Correct Answer: D

Rationale: All steps—ethical language, peer review, and proofreading—ensure a quality dissertation.

In general, what are the two common areas in schools in which children with hearing loss have troubles?

  • A. Science and social studies
  • B. One in four
  • C. Reading and writing
  • D. Math and science
Correct Answer: C

Rationale: Hearing loss impacts language skills, affecting reading and writing most.

A patient asks, 'What is the main purpose of these medications I take for my HIV?' Which response should the nurse make?

  • A. They encapsulate the virus-infected cells.'
  • B. They mark the virus for natural killer cells to destroy.'
  • C. They attract macrophages to the cells making the virus.'
  • D. They inhibit enzymes to interfere with viral production.'
Correct Answer: D

Rationale: The correct answer is D because antiretroviral medications used for HIV treatment work by inhibiting enzymes essential for viral replication, thus interfering with viral production. This prevents the virus from multiplying and spreading in the body. Option A is incorrect as medications do not encapsulate virus-infected cells. Option B is incorrect as the medications do not mark the virus for natural killer cells. Option C is incorrect as medications do not attract macrophages to the cells.

Which therapy reduces self-defeating in clients:

  • A. Existential therapy
  • B. Irrational emotive therapy
  • C. Rational emotive therapy
  • D. Cognitive therapy
Correct Answer: C

Rationale: Rational Emotive Behavior Therapy (REBT, Ellis) targets self-defeating beliefs to reduce negative outcomes.

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.

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