Concept of Family Health Nursing Care

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Select the most appropriate outcome for a patient completing the fourth alcohol detoxification program in 1 year. Before discharge, the patient will

  • A. use rationalization in healthy ways.
  • B. state, 'I see the need for ongoing treatment.'
  • C. identify constructive outlets for expression of anger.
  • D. develop a trusting relationship with one staff member.
Correct Answer: B

Rationale: The correct answer is B because stating 'I see the need for ongoing treatment' demonstrates insight and willingness to engage in further treatment, indicating a readiness for change. This is crucial for someone who has completed multiple detox programs in a short period. Choice A (using rationalization in healthy ways) may not address the underlying issues leading to repeated detox programs. Choice C (identifying constructive outlets for expression of anger) is important but not the most urgent concern after detox. Choice D (developing a trusting relationship with one staff member) is beneficial but does not address the need for ongoing treatment.

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The key to asking culturally competent assessment questions is to:

  • A. Remove all bias from the questions.
  • B. Ask simple, simply worded questions.
  • C. Address all age groups and genders within the culture.
  • D. Recognize that culture affects all aspects of an individual's life.
Correct Answer: A

Rationale: Rationale:
A: Removing bias ensures questions are neutral and unbiased, crucial for culturally competent assessment.
B: Simple wording may overlook nuances or cultural context, leading to misinterpretations.
C: Focusing on age and gender may not address other cultural factors that influence individuals.
D: While culture impacts various aspects of life, recognizing this alone doesn't ensure bias-free questions.

Why are tricyclic antidepressants infrequently used?

  • A. Have many side effects
  • B. Have many interactions with other medications
  • C. Can cause cardiac problems
  • D. Lethal in overdose
Correct Answer: A

Rationale: The correct answer is A because tricyclic antidepressants have numerous side effects such as dry mouth, constipation, weight gain, and sedation. These side effects can be intolerable for patients, leading to poor adherence. Choices B, C, and D are incorrect because while tricyclic antidepressants can have interactions with other medications, cause cardiac problems, and be lethal in overdose, these factors alone do not fully explain why they are infrequently used compared to other antidepressant options. The primary reason for their limited use lies in their significant side effect profile.

A -..---disorder is when the quality of the voice changes as it travels through the different-shaped spaces of the throat, nose, and mouth:

  • A. Speech sound disorder
  • B. Speech disorder
  • C. Voice disorder
  • D. Resonance Disorders
Correct Answer: D

Rationale: Resonance disorders affect voice quality due to nasal or oral cavity issues.

Under what conditions is the DOT program most successful?

  • A. When DOT is carried out in a way that is convenient for a patient to enable completion of the recommended therapy
  • B. When DOT is monitored directly by an attending physician at a local health center
  • C. When DOT is only administered when the patient's symptoms of illness are most severe, based on the patient's wishes
  • D. When DOT is administered when the patient cooperates with hospital instructions
Correct Answer: A

Rationale: Convenience ensures patients can complete DOT, critical for its success.

Which type of intervention is not usually useful for Level 4 families?

  • A. Object relations family interventions
  • B. Family sculpting
  • C. Case management
  • D. Genograms
Correct Answer: C

Rationale: Level 4 families focus on abstract, philosophical concerns, so case management, which addresses concrete needs, is less relevant compared to insight-oriented interventions.

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