Core Concepts of Patient Family Care

Core Concepts of Patient Family Care Related

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Using the strategic approach with a family in therapy, the therapist would:

  • A. Try to change family principles that may be promoting dysfunctional behavior patterns.
  • B. Strive to create change in destructive behavior through improvement in communication and interaction patterns.
  • C. Encourage increase in the differentiation of individual family members.
  • D. Promote change in dysfunctional behavior by encouraging the formation of more diffuse boundaries between family members.
Correct Answer: A

Rationale: The correct answer is A because in the strategic approach, therapists focus on changing the underlying principles within the family system that contribute to dysfunctional behavior patterns. By addressing these core beliefs and principles, therapists aim to create lasting change in the family dynamics.

Incorrect choices:
B: While improving communication and interaction patterns is important in family therapy, it is not the primary focus of the strategic approach.
C: Increasing the differentiation of individual family members is more aligned with structural family therapy, not the strategic approach.
D: Promoting more diffuse boundaries between family members may lead to further dysfunction rather than resolving it in the strategic approach.

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There appears to be a power struggle among the members of an outpatient therapeutic support group. Which event that occurred during a session demonstrates a need for the leader to intervene?

  • A. Two members consistently engaged in debates that made voting on issues very difficult.
  • B. A member abruptly left the group session when his proposal did not gain enough votes to pass.
  • C. Three members monopolized the session debating what stress management technique is most helpful.
  • D. The decision regarding the admission of late members had to be postponed since no agreement could be reached.
Correct Answer: A

Rationale: The correct answer is A. In this scenario, consistent debates hindering decision-making indicate a power struggle. The leader should intervene to facilitate productive discussions and maintain group cohesion. Choice B demonstrates individual frustration, not a group dynamic issue. Choice C shows members monopolizing, but not necessarily a power struggle. Choice D reflects a disagreement, but not a power struggle within the group. Therefore, Choice A is the most critical issue requiring intervention.

The nurse demonstrates an understanding of the importance of assessment in prevention of mental illness when:

  • A. Observing the partner of a pregnant woman for evidence of effective support and caring.
  • B. Educating the family of a client diagnosed with depression as to the signs of suicide planning.
  • C. Encouraging the parents of a teenager diagnosed with anorexia to attend family counseling.
  • D. Assessing the problem-solving skills of a client diagnosed with obsessive-compulsive disorder.
Correct Answer: A

Rationale: The correct answer is A because observing the partner of a pregnant woman for effective support and caring is important in preventing mental illness by promoting a supportive environment. This assessment can help identify potential risk factors or stressors that may contribute to the development of mental health issues. In contrast, options B, C, and D focus on interventions after the mental illness has already been diagnosed, rather than prevention through early assessment. B addresses managing a diagnosed condition, C focuses on treatment through counseling, and D involves evaluating specific symptoms rather than holistic support. Thus, A is the most appropriate choice for prevention through early assessment.

The nurse knows the lithium, a naturally-occurring salt that is excreted by the kidneys, has the potential to adversely affect:

  • A. Renal function
  • B. Thyroid function
  • C. ECG
  • D. Polyuria
Correct Answer: A

Rationale: The correct answer is A: Renal function. Lithium is excreted by the kidneys, and its accumulation can lead to renal toxicity, affecting renal function. The other choices are incorrect because lithium primarily affects the kidneys, not the thyroid (B), ECG (C), or causes polyuria (D). Lithium toxicity is commonly associated with renal impairment, making A the most appropriate choice.

Sociologists use the term 'sex' to refer to

  • A. Anatomical and psychological differences
  • B. Emotional and cultural practices
  • C. Erotic and physical practices
  • D. Psychological and social differences
Correct Answer: A

Rationale: Sex refers to biological and sometimes psychological distinctions.

Of children between birth and 18 years of age, what severity of hearing loss is the most common?

  • A. Severe
  • B. One in four
  • C. Minimal
  • D. Moderate
Correct Answer: C

Rationale: Minimal hearing loss is most common in children, often unnoticed but impactful.

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