Core Concepts of Patient Family Care

Core Concepts of Patient Family Care Related

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What treatment does a nurse expect to initiate for a depressed patient who is agitated, vomiting, hyperthermic, hyperreflexive, and tachycardic?

  • A. Serotonin syndrome: Anticonvulsants for seizures
  • B. Clonazepam for myoclonus
  • C. Lorazepam for restlessness and agitation
  • D. Palpitations
Correct Answer: A

Rationale: The correct answer is A: Serotonin syndrome: Anticonvulsants for seizures. The patient's symptoms of agitation, vomiting, hyperthermia, hyperreflexia, and tachycardia are indicative of serotonin syndrome. Treatment involves stopping the offending medications, supportive care, and in severe cases, anticonvulsants for seizures. Choice B (Clonazepam) is incorrect as it is used for myoclonus, not the main symptoms presented. Choice C (Lorazepam) is incorrect as it is used for restlessness and agitation but not specifically for serotonin syndrome. Choice D (Palpitations) is incorrect as it is a symptom of serotonin syndrome, not a treatment.

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The greatest benefit derived from current work being done related to pharmacogenetics is that:

  • A. The cost of medication manufacturing will be drastically reduced.
  • B. Research and development of new drugs will be much less costly.
  • C. Medications will be designed so that they do not cause unwanted side effects.
  • D. Medications will be formulated so that only one dose per day will be required.
Correct Answer: C

Rationale: The correct answer is C because pharmacogenetics allows medications to be designed based on an individual's genetic makeup, minimizing unwanted side effects. This is beneficial as it enhances treatment effectiveness and safety. Choice A is incorrect as cost reduction in manufacturing is not the primary focus of pharmacogenetics. Choice B is incorrect as research and development costs are not directly impacted by pharmacogenetics. Choice D is incorrect as the frequency of medication dosing is not the main benefit derived from pharmacogenetics.

A 16-year-old adolescent is hospitalized and acting like a child. According to Erik Erikson, what is the appropriate developmental task?

  • A. Industry vs. inferiority
  • B. Integrity vs. despair
  • C. Identity vs. role confusion
  • D. Trust vs. mistrust
Correct Answer: C

Rationale: A 16-year-old is experiencing role confusion perhaps in response to the stress of hospitalization.

Self-concept affects the ability to function and greatly influences --.--status:

  • A. Social
  • B. Mental
  • C. Health
  • D. Well-being
Correct Answer: C

Rationale: Self-concept impacts health status, influencing physical and psychological functioning.

When diet is affected by cultural factors, which in turn significantly impact a patient's health care, which of the following approaches is appropriate?

  • A. Recommend immediate cessation of the usual diet and provide a list of prohibited foods
  • B. Allow the patient to continue his/her usual diet and adjust medications accordingly
  • C. Discuss the underlying cultural factors related to the usual diet and explore options within that paradigm that might be better suited to the patient's health
  • D. Suggest that the patient instead see a physician who shares his/her cultural background
Correct Answer: C

Rationale: Discussing cultural factors and options respects traditions while promoting health.

Self is an ongoing process that combines the 'I' and 'ME'. The 'I' refers to

  • A. The image we have of how other people react to us
  • B. The spontaneous force that fosters unpredictable behavior
  • C. Both of these
  • D. None of these
Correct Answer: B

Rationale: The 'I' (Mead) is the spontaneous, unscripted aspect of self.

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