Core Concepts of Patient Family Care

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The forensic psychiatric nurse oftentimes has conflicting goals when providing psychiatric care while serving the legal system. Which situation best demonstrates this conflict?

  • A. Performing a mental health assessment on an individual diagnosed with paranoid schizophrenia who is accused of violently attacking a neighbor he believed was 'spying for the government'
  • B. Providing both physical and emotional care to a female who was raped while securing and preserving the evidence that will be used in a court of law
  • C. Arranging for and then leading an anger management therapy group for a group of female offenders who are about to be paroled
  • D. Conducting a depression screening on a newly incarcerated prisoner serving a 25-year sentence in a federal prison
Correct Answer: A

Rationale: The correct answer is A because it demonstrates the conflict between providing psychiatric care and serving the legal system. In this scenario, the nurse must assess a patient with paranoid schizophrenia who committed a violent act due to delusions. The nurse needs to balance the patient's mental health needs with addressing the legal implications of the violent behavior.

Choice B involves caring for a rape victim and preserving evidence, which aligns with both nursing and legal responsibilities. Choice C focuses on providing therapy to offenders, which does not inherently present a conflict between psychiatric care and legal duties. Choice D involves conducting a depression screening for a prisoner, which is important for mental health care but does not inherently involve a conflict with legal obligations.

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The greatest benefit derived from current work being done related to pharmacogenetics is that:

  • A. The cost of medication manufacturing will be drastically reduced.
  • B. Research and development of new drugs will be much less costly.
  • C. Medications will be designed so that they do not cause unwanted side effects.
  • D. Medications will be formulated so that only one dose per day will be required.
Correct Answer: C

Rationale: The correct answer is C because pharmacogenetics allows medications to be designed based on an individual's genetic makeup, minimizing unwanted side effects. This is beneficial as it enhances treatment effectiveness and safety. Choice A is incorrect as cost reduction in manufacturing is not the primary focus of pharmacogenetics. Choice B is incorrect as research and development costs are not directly impacted by pharmacogenetics. Choice D is incorrect as the frequency of medication dosing is not the main benefit derived from pharmacogenetics.

The nurse best assures that a psychiatric client's rights are respected and preserved by:

  • A. Educating each client as to his or her legally protected rights.
  • B. Being knowledgeable of the state laws that regulate client rights.
  • C. Participating as a member of the client's multidisciplinary health care team.
  • D. Referring all issues of a legal nature to the appropriate facility committee.
Correct Answer: B

Rationale: The correct answer is B because being knowledgeable of state laws regulating client rights enables the nurse to advocate effectively. By understanding the legal framework, the nurse can ensure the client's rights are upheld. Choice A may not cover all legal aspects, choice C focuses on healthcare teamwork, and choice D may delay addressing legal issues promptly. Being well-versed in state laws is crucial for protecting client rights.

A 16-year-old adolescent is hospitalized and acting like a child. According to Erik Erikson, what is the appropriate developmental task?

  • A. Industry vs. inferiority
  • B. Integrity vs. despair
  • C. Identity vs. role confusion
  • D. Trust vs. mistrust
Correct Answer: C

Rationale: A 16-year-old is experiencing role confusion perhaps in response to the stress of hospitalization.

he Montessori approach believes that learning is

  • A. Passive
  • B. Active
  • C. Teacher-driven
  • D. Routine
Correct Answer: B

Rationale: Montessori views learning as an active process driven by the child's engagement.

How may a physician maintain rapport with a patient and his/her family after gaining their consent?

  • A. Provide information about a patient's status when convenient
  • B. Alternate with a qualified nurse in seeing the patient and family
  • C. Always use proper medical jargon to reflect personal proficiency
  • D. Set goals that focus on the patient and are understandable to the family
Correct Answer: D

Rationale: Clear, patient-focused goals sustain trust and communication.

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