Concept of Family Health Nursing Care

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Sarah is an African American woman who receives a visit from the psychiatric home health nurse. A referral for a mental health assessment was made by the public health nurse, who noticed that Sarah was becoming exceedingly withdrawn. When the psychiatric nurse arrives, Sarah says to her, 'No one can help me. I was an evil person in my youth, and now I must pay.' How might the nurse assess this statement?

  • A. Sarah is having delusions of persecution.
  • B. Some African Americans believe illness is God's punishment for their sins.
  • C. Sarah is depressed and just wants to be left alone.
  • D. African Americans do not believe in psychiatric help.
Correct Answer: B

Rationale: Sarah's statement about being an evil person in her youth and needing to pay suggests a cultural or spiritual belief that illness is a punishment for sins, common among some African Americans, aligning with option b.

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he Montessori approach believes that teachers should

  • A. Control
  • B. Observe
  • C. Direct
  • D. Instruct
Correct Answer: B

Rationale: Montessori teachers observe to guide learning, rather than control or direct it.

In ---------------- unique family system known as KIBBUTZ is found:

  • A. China
  • B. Denmark
  • C. Israel
  • D. Africa
Correct Answer: C

Rationale: The kibbutz, a communal family system, is unique to Israel.

he theorist who believes that human behavior is influenced by culture is

  • A. Sigmund Freud
  • B. Carl Rogers
  • C. Lev Vygotsky
  • D. Erik Erikson
Correct Answer: C

Rationale: Lev Vygotsky stressed the role of culture in shaping cognitive and behavioral development.

Women from which of the following groups are least likely to perceive themselves as overweight?

  • A. African American
  • B. Caucasian
  • C. Asian
  • D. Native American
Correct Answer: A

Rationale: Studies show African American women are less likely to perceive themselves as overweight compared to other groups due to cultural differences in body image perception.

A person with hearing loss can just begin to detect sound at a decibel level similar to

  • A. Rustle of leaves
  • B. One in four
  • C. 10 feet away
  • D. Whisper
Correct Answer: A

Rationale: Rustle of leaves (~20 dB) is detectable with mild hearing loss.

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