Family Centered Care in Nursing

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The parent of an adolescent diagnosed with mental illness asks the nurse, Why do you want to do a family assessment? My teenager is the patient, not the rest of us. Select the nurses best response.

  • A. Family dysfunction might have caused the mental illness.
  • B. Family members provide more accurate information than the patient.
  • C. Family assessment is part of the protocol for care of all patients with mental illness.
  • D. Every family members perception of events is different and adds to the total picture.
Correct Answer: D

Rationale: The identified patient usually bears most of the family systems anxiety and may have come to the attention of parents, teachers, or law enforcement because of poor coping skills. The correct response helps the family understand that the opinions of each will be valued. It allows the nurse to assess individual coping and prepares the family for the experience of working together to set goals and solve problems. The other responses are either incorrect or evasive.

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In an experimental design, the dependent variable is:

  • A. The one that is not manipulated and in which any changes are observed
  • B. The one that is manipulated in order to observe any effects on the other
  • C. A measure of the extent to which personal values affect research
  • D. An ambiguous concept whose meaning depends on how it is defined
Correct Answer: A

Rationale: The dependent variable is the outcome measured, not manipulated, in experiments.

At a synapse, the determination of further impulse transmission is accomplished by means of

  • A. potassium ions.
  • B. interneurons.
  • C. neurotransmitters.
  • D. myelin sheath.
Correct Answer: C

Rationale: Impulse transmission at a synapse is primarily facilitated by neurotransmitters, which carry signals across the synaptic gap, aligning with option c.

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 often provide non-specialist counseling as part of their role, without formal training.

How many stages of group development:

  • A. 3
  • B. 4
  • C. 5
  • D. 6
Correct Answer: C

Rationale: Tuckman's model includes 5 stages: forming, storming, norming, performing, adjourning (1965, 1977).

After your assessment of your client and the need to transfer your client from the bed to the chair, what is the best and safest way to transfer this paralyzed client when you suspect that you will need the help of another for the client's first transfer out of bed?

  • A. Use a slide board.
  • B. Use a mechanical lift.
  • C. Use a gait belt.
  • D. Notify the client's doctor that the client cannot be safely transferred by you.
Correct Answer: B

Rationale: Mechanical lifts are safest for transferring paralyzed clients.

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