Concept of Family Centered Care

Concept of Family Centered Care Related

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The client's chart indicates that she has experienced trauma to the cerebral cortex as a result of injuries sustained during an attempted suicide. Which observation is most likely the result of this injury?

  • A. Client is often found crying into her pillow.
  • B. Client demonstrates involuntary twitching of facial muscles.
  • C. Client states, 'What do you mean 'it's raining cats and dogs'?'
  • D. Client asks, 'Can you address this letter to my mom; I forget her address?'
Correct Answer: C

Rationale: The correct answer is C because trauma to the cerebral cortex can lead to difficulties understanding and interpreting language, resulting in the client's statement of confusion about the idiom "raining cats and dogs." This type of injury can affect the client's language comprehension and expression.

Choice A is incorrect because crying into a pillow is not directly related to trauma in the cerebral cortex. Choice B is incorrect as involuntary twitching of facial muscles is more indicative of motor-related issues, not language comprehension problems. Choice D is also incorrect as forgetting an address is more related to memory issues rather than language comprehension problems resulting from cerebral cortex trauma.

You may also like to solve these questions

When meeting an androgynous-appearing patient for the first time, what is the best approach?

  • A. Assume that the patient is homosexual and begin by taking her medical history
  • B. Ask the patient if she is a lesbian upon introducing oneself
  • C. Refer to the patient by full name, rather than using an engendered prefix
  • D. Avoid discussing the patient's gender or sexual preferences
Correct Answer: C

Rationale: Using a full name avoids assumptions and maintains neutrality.

A 16-year-old wants to drive, but the parents will not allow it. A 14-year-old sibling was invited to several sleepovers, but the parents found reasons to deny permission. Both teens are annoyed because the parents buy clothes for them that are more suitable for younger children. The parents say, We dont want our kids to grow up too fast. Which term best describes this familys boundaries?

  • A. Rigid
  • B. Clear
  • C. Enmeshed
  • D. Differentiated
Correct Answer: A

Rationale: Rigid boundaries are those that do not change or flex with changing circumstances, as indicated here by parents who are reluctant to revise their roles and expectations about their children as the children mature. Enmeshed boundaries are those that have failed to differentiate or develop individually; the family shares roles and thoughts to an excessive degree, without a healthy degree of individuality. Clear boundaries are not enmeshed; they are appropriate and well maintained.

Grasping the pencil represents a child's

  • A. Gross motor skills
  • B. Fine motor skills
  • C. Large motor skills
  • D. None of these
Correct Answer: B

Rationale: Grasping a pencil requires fine motor precision.

Which of these is not one of Biesteks's Seven Principles of Relationship

  • A. Acceptance
  • B. Independence
  • C. Controlled emotional involvement
  • D. Confidentiality
Correct Answer: B

Rationale: Independence is not among Biestek's original seven; the others are core principles.

The nurse is addressing a primary symptom of schizophrenia when:

  • A. Arranging for the client to attend stress management classes.
  • B. Reinforcing the client's ability to interrupt intrusive paranoid thoughts.
  • C. Working with the client to arrive at a budget that allows him to live independently.
  • D. Supporting the client in his attempts to stop using alcohol to cope with his hallucinations.
Correct Answer: B

Rationale: The correct answer is B because reinforcing the client's ability to interrupt intrusive paranoid thoughts addresses a primary symptom of schizophrenia, which is distorted thinking patterns. Helping the client develop skills to challenge and manage these thoughts is a key aspect of schizophrenia treatment.

A: Arranging stress management classes may be helpful but does not directly address the primary symptom of distorted thinking.
C: Working on a budget for independent living is important but does not directly target the primary symptom of schizophrenia.
D: Supporting the client to stop using alcohol may be beneficial, but it does not directly address the primary symptom of distorted thinking associated with schizophrenia.

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