Concept of Family Health Care

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The primary impact that the development and use of psychotropic drugs had on nursing's role in the care of clients with mental health disorders was:

  • A. The availability of mental health therapies as an outpatient service.
  • B. The expansion of the role assumed by professionally trained nurses.
  • C. Nurses were needed to fill the gap created by a lack of medical personnel.
  • D. More nurses were required to address the needs of the now treatable mental health clients.
Correct Answer: B

Rationale: The correct answer is B because the development and use of psychotropic drugs allowed nurses to take on a more expanded role in caring for clients with mental health disorders. With these medications, nurses could now actively participate in medication administration, monitoring of side effects, educating clients on drug regimens, and collaborating with other healthcare professionals in treatment planning. This increased responsibility and involvement in the treatment process led to a more significant impact on patient outcomes and overall care quality.

Choice A is incorrect because the availability of mental health therapies as an outpatient service is more influenced by various factors such as healthcare policies and funding rather than just the development of psychotropic drugs. Choice C is incorrect as the use of psychotropic drugs did not specifically create a lack of medical personnel that nurses needed to fill. Choice D is incorrect as the increase in the number of nurses was not solely due to the treatability of mental health clients but rather the expanded role that nurses took on in caring for these clients.

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he theorist who believes that human have free will is

  • A. Sigmund Freud
  • B. Carl Rogers
  • C. B.F. Skinner
  • D. Albert Bandura
Correct Answer: B

Rationale: Carl Rogers' humanistic theory emphasizes free will and agency.

What cardiovascular medication is often introduced for persons suffering from performance anxiety, social phobia, or panic disorder?

  • A. Propranolol (Inderal)
  • B. Explosive occipital headache
  • C. Clonazepam for myoclonus
  • D. Course hand tremor
Correct Answer: A

Rationale: Rationale: Propranolol (Inderal) is a beta-blocker commonly used to manage physical symptoms associated with anxiety, such as tremors and rapid heart rate. It is effective for performance anxiety, social phobia, and panic disorder by reducing physiological symptoms without affecting cognitive functions. Other choices like B, C, and D are not indicated for these conditions and do not target the cardiovascular symptoms associated with anxiety.

The Mini Mental State Exam is most appropriately used when the:

  • A. Focus of the exam is the client's cognitive function.
  • B. Interview must be completed in 10 minutes or less.
  • C. Client is agitated and unwilling to complete the full version.
  • D. Test is meant to establish a client's mood at the time of admission.
Correct Answer: A

Rationale: The correct answer is A because the Mini Mental State Exam is specifically designed to assess a client's cognitive function, including orientation, memory, attention, and language skills. This makes it ideal for evaluating cognitive impairment, dementia, and other neurological conditions. The other choices are incorrect because B focuses on time constraints rather than the purpose of the exam, C addresses behavioral issues rather than assessment goals, and D pertains to mood assessment rather than cognitive function evaluation. Therefore, A is the best choice for the appropriate use of the Mini Mental State Exam.

A patient prone to manic episodes is reevaluated and diagnosed with acute kidney injury. Which medication would the nurse anticipate holding? A. Xanax B. Carbamazepine (Tegretol) C. Nifedipine D. Lithium

  • A. Xanax
  • B. Carbamazepine (Tegretol)
  • C. Nifedipine
  • D. Lithium
Correct Answer: D

Rationale: The correct answer is D, Lithium. In a patient prone to manic episodes with acute kidney injury, Lithium should be held due to its potential to worsen renal function. Xanax (A) is not typically contraindicated in acute kidney injury. Carbamazepine (B) may be used cautiously but does not have the same risk as Lithium. Nifedipine (C) is a calcium channel blocker and does not directly impact kidney function in the same way Lithium does.

he theorist who believes that human have autonomy is

  • A. Sigmund Freud
  • B. Carl Rogers
  • C. B.F. Skinner
  • D. Albert Bandura
Correct Answer: B

Rationale: Carl Rogers' humanistic theory emphasizes autonomy and self-direction.

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