Nokea
What is the role of the physician when the patient lacks decisionmaking capacity and someone other than a family member has been designated as the surrogate decision maker?
- A. Follow the instructions of the family and ignore the surrogate
- B. Ignore the family and talk only to the surrogate
- C. Serve as a mediator between parties and encourage all groups to work together in the best interest of the patient, consistent with the patient's wishes
- D. Consult legal affairs to determine who should be the decisionmaker
Correct Answer: C
Rationale: Mediation ensures collaboration and honors the patient's designated surrogate.
You may also like to solve these questions
The most appropriate nursing intervention with Jenny (from question 5) would be to:
- A. Make arrangements for her to start attending Alateen meetings.
- B. Help her identify the positive things in her life and recognize that her situation could be a lot worse than it is.
- C. Teach her about the effects of alcohol on the body and that it can be hereditary.
- D. Refer her to a psychiatrist for private therapy to learn to deal with her home situation.
Correct Answer: A
Rationale: The correct answer is A because Alateen meetings provide support and understanding for teenagers living with family members struggling with alcoholism. Attending these meetings can help Jenny feel less alone, gain coping strategies, and build a support network with peers in similar situations.
Choice B is incorrect as it minimizes Jenny's struggles and may invalidate her feelings. Choice C focuses on the biological aspect of alcoholism, which may not address Jenny's emotional needs. Choice D involves a referral to a psychiatrist for private therapy, which may not provide the peer support and understanding that Alateen meetings can offer.
How may a physician maintain rapport with a patient and his/her family after gaining their consent?
- A. Provide information about a patient's status when convenient
- B. Alternate with a qualified nurse in seeing the patient and family
- C. Always use proper medical jargon to reflect personal proficiency
- D. Set goals that focus on the patient and are understandable to the family
Correct Answer: D
Rationale: Clear, patient-focused goals sustain trust and communication.
Which treatment approach is most appropriate for a patient with antisocial tendencies who has been treated several times for substance addiction but has relapsed?
- A. One-week detoxification program
- B. Long-term outpatient therapy
- C. Twelve-step self-help program
- D. Residential program
Correct Answer: D
Rationale: The correct answer is D: Residential program. This option is most appropriate because a residential program provides a highly structured environment with 24/7 support and supervision, which is crucial for individuals with antisocial tendencies and a history of relapse. This intensive setting helps address the complex needs of the patient, including addiction and behavioral issues. On the other hand, A (One-week detox program) is too short and does not address the underlying issues. B (Long-term outpatient therapy) may not provide sufficient support and monitoring for someone with a high risk of relapse. C (Twelve-step self-help program) can be beneficial but may not offer the level of supervision and intensive treatment needed for this patient.
Why might an immigrant patient be reluctant to participate in DOT?
- A. Immigrant patients are fearful of medical authority
- B. The patient may be fearful because of the loss of privacy or cultural misunderstanding
- C. The patient may have had a similar experience in his/her native country
- D. The patient may feel that DOT will make the illness worse
Correct Answer: B
Rationale: Privacy loss and cultural differences often deter immigrants from DOT participation.
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.