Concept of Family Health Nursing Care

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What type of therapy is 'person-centered' and utilizes a method of communication rather than a set of techniques?

  • A. Motivational interviewing
  • B. Cognitive Behavioral Therapy (CBT)
  • C. Narrative Therapy
  • D. Existential Therapy
Correct Answer: A

Rationale: The correct answer is A: Motivational interviewing. This therapy aligns with the person-centered approach by focusing on empathetic listening, understanding the client's perspective, and fostering self-motivation for change. It emphasizes a collaborative and non-confrontational communication style, allowing clients to explore and resolve ambivalence towards behavior change. The other choices (B: CBT, C: Narrative Therapy, D: Existential Therapy) involve structured techniques and interventions rather than solely relying on communication to facilitate change.

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Parents of a teenager recently diagnosed with serious mental illness express dismay. One parent says, Our hopes for our childs future are ruined. We probably wont ever have grandchildren. The nurse will use interventions to assist with:

  • A. denial.
  • B. grieving.
  • C. acting out.
  • D. manipulation.
Correct Answer: B

Rationale: Grief is a common reaction to having a family member diagnosed with mental illness. The grief stems from actual or potential losses, such as the familys ability to function, financial well-being, and altered future. Data do not support choosing any of the other options.

An alcohol-dependent patient was hospitalized at 0200 today. When would the nurse expect withdrawal symptoms to peak?

  • A. Between 0800 and 1000 today (6 to 8 hours after drinking stopped)
  • B. Between 0200 tomorrow and hospital day 2 (24 to 48 hours after drinking stopped)
  • C. About 0200 on hospital day 3 (72 hours after drinking stopped)
  • D. About 0200 on hospital day 4 (96 hours after drinking stopped)
Correct Answer: B

Rationale: The correct answer is B because alcohol withdrawal symptoms typically peak between 24 to 48 hours after the patient stops drinking. This timeframe aligns with the onset of symptoms such as tremors, anxiety, and hallucinations. Choices A, C, and D are incorrect because withdrawal symptoms do not peak within 6 to 8, 72, or 96 hours after drinking cessation. It is crucial for the nurse to monitor the patient closely during this critical period to manage and prevent potential withdrawal complications.

Which of the following approaches is most effective in helping patients with type 2 diabetes to lose weight?

  • A. Advocate the American Diabetes Association's 1800-calorie diet for all patients
  • B. Recommend daily exercise and decreased food intake
  • C. Suggest substituting healthy ingredients for meals and snacks based on the patient's cultural heritage and personal preferences
  • D. Refer patients to a dietitian for all their diet-related inquiries
Correct Answer: C

Rationale: Culturally tailored substitutions enhance adherence by aligning with patient preferences and lifestyle.

The belief that asthma treatment can lead to addiction is prevalent among which of the following groups?

  • A. Chinese Americans
  • B. Dominican Americans
  • C. Mexican Americans
  • D. Columbian Americans
Correct Answer: C

Rationale: Mexican Americans commonly hold this misconception about asthma meds.

the problems of sexuality and sexual functioning, the term gender identity refers to

  • A. Sexual urges or fantasies
  • B. Individual is dissatisfied with their own biological sex
  • C. Problem with sexual fantasies
  • D. Problem with normal sexual response cycle
Correct Answer: B

Rationale: Gender identity is one's internal sense of gender, which may conflict with biological sex.

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