Core Concepts of Patient Family Care

Core Concepts of Patient Family Care Related

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The nurse has been discussing actions to prevent AIDS-related wasting syndrome with a patient being treated for AIDS. Which patient statements indicate an understanding of this teaching? (Select all that apply.)

  • A. Eat a low-residue diet.
  • B. Drink liquids before meals.
  • C. Enjoy food odors to stimulate appetite.
  • D. Numb painful oral sores with ice or popsicles.
Correct Answer: A

Rationale: The correct answer is A: Eat a low-residue diet. This is because AIDS-related wasting syndrome can lead to malabsorption issues and gastrointestinal symptoms, making it difficult for the body to absorb nutrients from food. A low-residue diet is recommended to reduce the amount of fiber and bulk in the diet, making it easier for the body to digest and absorb nutrients. Choices B, C, and D are incorrect as they do not specifically address the nutritional needs of a patient with AIDS-related wasting syndrome. Drinking liquids before meals may help with appetite but does not address nutrient absorption. Enjoying food odors may stimulate appetite but does not focus on nutrient intake. Numbing oral sores with ice or popsicles addresses symptom management but does not address the underlying issue of nutrient absorption.

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The child's ability to understand conservation develops during

  • A. Sensorimotor
  • B. Preoperational
  • C. Concrete operational
  • D. Formal operational
Correct Answer: C

Rationale: Conservation, understanding that properties remain constant despite appearance, develops in the concrete operational stage (Piaget).

are often a damage for themselves and each other.

  • A. Infants
  • B. Toddlers
  • C. Adolescents
  • D. Adults
Correct Answer: B

Rationale: Toddlers, due to their exploratory nature and lack of full motor control, often unintentionally harm themselves or others.

When providing instructions to a patient who has just been prescribed Isocarboxazid (Marplan), it is important for the nurse to include:

  • A. Interactions with other medications
  • B. Requires tyramine-free diet: avoid food and drugs that increase norepinephrine levels to prevent hypertensive crisis
  • C. Palpitations
  • D. Course hand tremor
Correct Answer: A

Rationale: The correct answer is A because Isocarboxazid is an MAOI, which can have dangerous interactions with other medications resulting in serious side effects. It is crucial for the nurse to educate the patient about potential drug interactions to prevent harm. Choice B is incorrect as Isocarboxazid does not require a tyramine-free diet like other MAOIs such as phenelzine. Choices C and D are unrelated side effects of Isocarboxazid and not the key information that needs to be communicated to the patient.

Andrew, a New York City firefighter, and his entire unit responded to the terrorist attacks at the World Trade Center. Working as a team, he and his best friend, Carlo, entered the area together. Carlo was killed when the building collapsed. Andrew was injured, but survived. Since that time, Andrew has had frequent nightmares and anxiety attacks. He says to the mental health worker, 'I don’t know why Carlo had to die and I didn’t!' This statement by Andrew suggests that he is experiencing:

  • A. Spiritual distress
  • B. Night terrors
  • C. Survivor’s guilt
  • D. Suicidal ideation
Correct Answer: C

Rationale: The correct answer is C: Survivor's guilt. Andrew's statement indicates feelings of guilt and confusion about why he survived while Carlo did not. Survivor's guilt is a common psychological response in individuals who have lived through a traumatic event where others did not. Andrew's frequent nightmares and anxiety attacks are also typical symptoms of survivor's guilt.

A: Spiritual distress is not the correct answer in this scenario as Andrew's statement does not specifically reference any spiritual or religious beliefs or conflicts.

B: Night terrors may be a symptom of Andrew's PTSD, but his statement about not understanding why he survived while Carlo did not suggests a deeper emotional struggle beyond just experiencing night terrors.

D: Suicidal ideation is not the correct answer as Andrew's statement does not indicate any desire or intention to harm himself. Rather, he is expressing confusion and guilt about surviving the traumatic event.

Counseling is done as part of the work of the teacher

  • A. Non-specialist
  • B. Informal
  • C. Professional
  • D. Specialized
Correct Answer: A

Rationale: Teachers offer non-specialist counseling within their role.

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