Concept of Family Health Care

Concept of Family Health Care Related

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Using the structural 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 communications 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: B

Rationale: The correct answer is B because the structural approach in family therapy focuses on improving communication and interaction patterns to create positive change in destructive behavior. This involves restructuring the family dynamics and roles to address underlying issues. Choice A is incorrect because changing family principles may not directly address specific behaviors. Choice C is incorrect as increasing differentiation alone may not target destructive behaviors. Choice D is incorrect as promoting diffuse boundaries can lead to further dysfunction rather than positive change.

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Which of the following methods is most effective when getting a consensus among family members of a patient who lacks decisionmaking capacity?

  • A. Remove oneself from the room and allow the family to discuss among themselves
  • B. Tactfully argue for the most effective procedure
  • C. Use active listening to query about decision-making processes, expectations, and understanding of the patient's illness
  • D. Ask the most senior member of the family to make the final decision
Correct Answer: C

Rationale: Active listening facilitates consensus by understanding family dynamics.

When children come to understand that people have thoughts, feelings, and beliefs that are different from their own. This is known as ----

  • A. Egocentric theory
  • B. Behavioral theory
  • C. Cognitive theory
  • D. Theory-of-mind
Correct Answer: D

Rationale: Theory of mind, emerging around age 4, is the ability to understand others' mental states (Piaget, Vygotsky).

Which demographic is the fastest-growing element of homelessness in the US?

  • A. Those with substance-abuse issues
  • B. Young men between the ages of 18-24
  • C. Families with children
  • D. Persons struggling with mental health issues
Correct Answer: C

Rationale: Families with children are increasingly homeless due to economic pressures and lack of affordable housing.

The child's ability to understand relationships develops during

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

Rationale: Understanding relationships, like classification, develops in the concrete operational stage (Piaget).

Which statement is most concerning regarding a depressed client's state of mind?

  • A. I just want to go to sleep and not wake up.'
  • B. When I get out of here I'm going to kill myself.'
  • C. I'm so tired of living like this; I want it to be over.'
  • D. Shooting myself with dad's gun will end it all quickly.'
Correct Answer: D

Rationale: The correct answer is D because it specifically mentions a method of suicide involving a gun, indicating a higher level of planning and immediacy. This statement suggests a clear intent to harm oneself and poses an immediate risk. Choice A expresses a desire to escape but lacks a specific plan. Choice B indicates a future intent, which may not necessarily pose an immediate risk. Choice C expresses a desire for the suffering to end but does not specify a method, indicating a lower level of immediate risk compared to choice D.

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