Concept of Family Centered Care

Concept of Family Centered Care Related

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The nurse is reviewing laboratory results for a patient who has HIV. Which result would be strongly suggestive of a diagnosis of AIDS?

  • A. CD4+ = 180/μL
  • B. CD4+ percentage = 68%
  • C. CD8+ = 650/μL
  • D. CD4+/CD8+ ratio = 1.5
Correct Answer: A

Rationale: The correct answer is A because a CD4+ count of 180/μL is significantly below the normal range (500-1500/μL) and indicative of severe immunosuppression, which is a hallmark of AIDS. CD4+ percentage alone (choice B) may not provide the full picture. CD8+ count (choice C) doesn't directly indicate immune system status in HIV/AIDS. The CD4+/CD8+ ratio (choice D) may be altered in various conditions, not specific to AIDS.

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The psychological test measure problem solving is

  • A. Rorschach
  • B. MMPI
  • C. WAIS
  • D. TAT
Correct Answer: C

Rationale: The WAIS includes subtests like block design that measure problem-solving ability.

The psychosexual stage associated with autonomy is

  • A. Oral
  • B. Anal
  • C. Phallic
  • D. Genital
Correct Answer: B

Rationale: The anal stage (1-3 years) fosters autonomy through control mastery (Freud).

You are caring for a client who has been assessed as having a past history of violent and dangerous behaviors towards others. You, as the nurse, are concerned about this client's past history and the dangers that may adversely affect others including staff, visitors and other clients on the unit. What is the first thing that you should do to prevent violence towards others?

  • A. Restrain the client
  • B. Place the client in seclusion
  • C. Get an order for a sedating medication
  • D. Establish trust with the client.
Correct Answer: D

Rationale: Establishing trust (D) is the first step to de-escalate potential violence.

The theorist who believes that personality develops through social interaction is

  • A. Sigmund Freud
  • B. Carl Rogers
  • C. Abraham Maslow
  • D. Erik Erikson
Correct Answer: D

Rationale: Erikson's psychosocial theory ties personality to social stages.

The theorist who believes that an individual interprets experiences is

  • A. Jean Piaget
  • B. Erik Erikson
  • C. Lev Vygotsky
  • D. John Dewey
Correct Answer: A

Rationale: Piaget's constructivism posits individuals interpret experiences to build knowledge.

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