Concept of Family Centered Care

Concept of Family Centered Care Related

Review Concept of Family Centered Care related questions and content

The nurse-therapist is counseling the Smith family: Mr. and Mrs. Smith, 10-year-old Rob, and 8-year-old Lisa. When Mr. and Mrs. Smith start to argue, Rob hits Lisa and Lisa starts to cry. The Smiths then turn their attention to comforting Lisa and scolding Rob, complaining that he is 'out of control and we don’t know what to do about his behavior.' These dynamics are an example of which of the following?

  • A. Double-bind messages
  • B. Triangulation
  • C. Pseudohostility
  • D. Multigenerational transmission
Correct Answer: B

Rationale: The correct answer is B: Triangulation. Triangulation occurs when a third party (in this case, the children) is brought into a conflict between two other parties (Mr. and Mrs. Smith). In this situation, the parents' argument has led to the children being drawn into the conflict, with Rob hitting Lisa. The parents then focus on the children, shifting attention away from their own issues. This behavior creates a dysfunctional dynamic within the family.

A: Double-bind messages refer to contradictory communication that causes confusion and emotional distress. This is not evident in the given scenario.
C: Pseudohostility involves expressing anger indirectly. While there may be some hostility in the family dynamics, it is not the primary issue at play.
D: Multigenerational transmission relates to the passing down of behaviors and beliefs through generations, which is not explicitly demonstrated in this scenario.

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A client has been voluntarily admitted to a mental health unit for treatment of acute depression. Which client request will the nurse deny based on this type of commitment?

  • A. Notifying his wife to bring him his personal cell phone
  • B. Arranging for him to cast his absentee vote for a city election
  • C. Mailing out his driver's license renewal form as a registered letter
  • D. Arranging for a private space where he can meet with his attorney
Correct Answer: A

Rationale: The correct answer is A because in a voluntary admission for acute depression, the client retains their basic rights, such as making personal phone calls. However, the nurse may deny the request to have the personal cell phone brought in due to concerns about safety, privacy, and potential access to harmful content. Choice B is incorrect as the client has the right to participate in civic activities like casting a vote. Choice C is incorrect as it involves maintaining personal documentation. Choice D is incorrect as the client has the right to meet with their attorney in a private space.

The Montessori approach believes that the teacher's role is

  • A. Director
  • B. Guide
  • C. Instructor
  • D. Controller
Correct Answer: B

Rationale: Montessori teachers guide rather than direct learning.

----study of twins found that hypersensitivity to light and sound may have a strong genetic component:

  • A. 2005
  • B. 2006
  • C. 2007
  • D. 2008
Correct Answer: C

Rationale: A 2007 twin study linked hypersensitivity to genetics, supporting SPD's hereditary basis.

In what significant ways is the therapeutic environment different for a patient who has ingested D-lysergic acid diethylamide (LSD) than for a patient who has ingested phencyclidine (PCP)?

  • A. For LSD ingestion, one person stays with the patient and provides verbal support. For PCP ingestion, a regimen of limited contact with staff members is maintained, and continual visual monitoring is provided.
  • B. For PCP ingestion, the patient is placed on one-on-one intensive supervision. For LSD ingestion, a regimen of limited interaction and minimal verbal stimulation is maintained.
  • C. For LSD ingestion, continual moderate sensory stimulation is provided. For PCP ingestion, continual high-level stimulation is provided.
  • D. For LSD ingestion, the patient is placed in restraints. For PCP ingestion, seizure precautions are implemented.
Correct Answer: A

Rationale: The correct answer is A because for a patient who has ingested LSD, it is important to have someone stay with them and provide verbal support due to the potential for anxiety and panic attacks. This helps in grounding the patient and providing reassurance. On the other hand, for a patient who has ingested PCP, a regimen of limited contact with staff members is maintained to prevent potential aggression or unpredictable behavior. Continual visual monitoring is provided to ensure safety without directly engaging with the patient.

Choice B is incorrect because placing a patient on one-on-one intensive supervision for PCP ingestion may escalate the situation due to potential paranoia or aggression. Choice C is incorrect because LSD ingestion may lead to sensory overload, so providing moderate sensory stimulation is more appropriate. Choice D is incorrect because restraints for LSD ingestion are not necessary and seizure precautions are not typically needed for PCP ingestion.

When administering medications, a nurse would hold which medication for a patient who presents with jaundice? A. Valium B. Divalproex (Depakote) C. Lithium D. Verapamil

  • A. Valium
  • B. Divalproex (Depakote)
  • C. Lithium
  • D. Verapamil
Correct Answer: B

Rationale: The correct answer is B: Divalproex (Depakote). Jaundice is a condition characterized by yellowing of the skin and eyes due to liver dysfunction. Divalproex is metabolized in the liver, and in patients with jaundice, liver function may be compromised, leading to potential toxicity. Therefore, holding Divalproex for a patient with jaundice is essential to prevent further liver damage.

A: Valium is primarily metabolized in the liver, but it is generally safe to use in patients with mild to moderate liver impairment.
C: Lithium is primarily cleared through the kidneys, so liver dysfunction would not directly impact its clearance.
D: Verapamil is also primarily metabolized in the liver, but it is not contraindicated in patients with jaundice unless there is severe liver impairment.

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