Concept of Family Health Nursing Care

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The psychiatric nurse best demonstrates an understanding of the general health challenges facing a mentally ill client who reports auditory hallucinations when asking:

  • A. When did you first start hearing voices?'
  • B. What did you have to eat last night for supper?'
  • C. May I have your permission to take your blood pressure?'
  • D. Do you understand why you need to take your medication?'
Correct Answer: C

Rationale: The correct answer is C because asking for permission to take the client's blood pressure demonstrates respect for their autonomy and acknowledges their physical health needs. It shows an understanding that mental illness can impact physical health and encourages holistic care. Choice A focuses on the onset of hallucinations, but does not address immediate health concerns. Choice B is unrelated to the client's health challenges. Choice D addresses medication compliance but does not directly address the client's current health status. Overall, choice C is the best option as it considers both the client's mental and physical well-being.

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What type of antidepressant increases the availability of serotonin and norepinephrine by inhibiting enzymes that metabolize serotonin and norepinephrine?

  • A. Monoamine oxidase inhibitors (MAOIs)
  • B. Explosive occipital headache
  • C. Polyuria
  • D. Selective serotonin reuptake inhibitors (SSRIs)
Correct Answer: A

Rationale: The correct answer is A: Monoamine oxidase inhibitors (MAOIs). MAOIs work by inhibiting the enzyme monoamine oxidase, which is responsible for breaking down serotonin and norepinephrine. By inhibiting this enzyme, MAOIs increase the availability of serotonin and norepinephrine in the brain, leading to improved mood.

Incorrect choices:
B: Explosive occipital headache - This choice is irrelevant to the question and does not relate to antidepressants or neurotransmitter availability.
C: Polyuria - This choice is a symptom related to excessive urination and does not pertain to antidepressants or neurotransmitter metabolism.
D: Selective serotonin reuptake inhibitors (SSRIs) - While SSRIs also increase serotonin levels, they do so by blocking the reuptake of serotonin, not by inhibiting enzymes that metabolize serotonin and norepinephrine.

Which finding indicates the successful completion of an individuals grieving process?

  • A. For two years, a person has kept the deceased spouses belongings in their usual places.
  • B. After 15 months, a widowed person realistically remembers both the pleasures and disappointments of the relationship with the spouse.
  • C. Three years after the death, a person talks about the spouse as if the spouse was still alive and weeps when others mention the spouses name.
  • D. Eighteen months after the spouses death, a person says, I never cry or have feelings of loss even though we were always very close.
Correct Answer: B

Rationale: The work of grieving is over when the bereaved can remember the individual realistically and acknowledge both the pleasure and disappointments associated with the loved one. The individual is then free to enter into new relationships and activities. The other options suggest unresolved grief.

zcording to social interactional theory, human beings differ from animals because

  • A. Humans are only proactive and not reactive like animals
  • B. Human beings have the ability to take the role of others
  • C. Human show greater affection than animals
  • D. All of these are correct
Correct Answer: B

Rationale: Social interaction theory highlights humans' ability to role-take, a cognitive distinction from animals.

Which of the following guidelines for the use of nonconventional modalities is correct?

  • A. Health care providers should make every attempt to ascertain alternative therapy use during each visit
  • B. All 'natural' products are generally safe
  • C. Health care providers should support all alternative therapies
  • D. When using alternative medicines, more is always better than less
Correct Answer: A

Rationale: Assessing use at each visit ensures safety and coordination with conventional care.

The child's ability to understand logical relationships develops during

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

Rationale: Logical relationships, like classification, develop in the concrete operational stage (Piaget).

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