Concept of Family Centered Care

Concept of Family Centered Care Related

Review Concept of Family Centered Care related questions and content

When administering medications, a nurse would hold which medication for a patient who presents with jaundice? A. Valium B. Divalproex (Depakote) C. Lithium D. Verapamil

  • A. Valium
  • B. Divalproex (Depakote)
  • C. Lithium
  • D. Verapamil
Correct Answer: B

Rationale: The correct answer is B: Divalproex (Depakote). Jaundice is a condition characterized by yellowing of the skin and eyes due to liver dysfunction. Divalproex is metabolized in the liver, and in patients with jaundice, liver function may be compromised, leading to potential toxicity. Therefore, holding Divalproex for a patient with jaundice is essential to prevent further liver damage.

A: Valium is primarily metabolized in the liver, but it is generally safe to use in patients with mild to moderate liver impairment.
C: Lithium is primarily cleared through the kidneys, so liver dysfunction would not directly impact its clearance.
D: Verapamil is also primarily metabolized in the liver, but it is not contraindicated in patients with jaundice unless there is severe liver impairment.

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Miss Lee is an Asian American on the psychiatric unit. She says to the nurse, 'I must have the hot ginger root for my headache. It is the only thing that will help.' What meaning does the nurse attach to this statement?

  • A. She is being obstinate and wants control over her care.
  • B. She believes ginger root has magical qualities.
  • C. She subscribes to the restoration of health through the balance of yin and yang.
  • D. Asian Americans refuse to take traditional medicine for pain.
Correct Answer: C

Rationale: Miss Lee's emphasis on ginger root for her headache reflects a belief in traditional Asian medicine, specifically the balance of yin and yang for health restoration, which aligns with option c.

A patient with HIV asks the nurse if thinking about dying frequently is common with HIV. What is an appropriate response by the nurse?

  • A. HIV is a serious disease that results in death.'
  • B. Thinking about death will not change the prognosis.'
  • C. HIV is now considered a chronic disease with treatment.'
  • D. HIV has a very high mortality rate, so it is realistic to plan for death.'
Correct Answer: C

Rationale: Rationale for Correct Answer C:
1. HIV is now considered a chronic disease with treatment, meaning many individuals can live long and healthy lives with proper medical care.
2. By informing the patient that HIV is a chronic disease, the nurse can provide reassurance and hope.
3. Acknowledging the patient's concerns while highlighting the positive advancements in HIV care can help alleviate anxiety and provide comfort.

Summary of Incorrect Choices:
A: This answer instills fear without providing accurate information about the current state of HIV treatment.
B: This answer dismisses the patient's concerns and does not offer any constructive information or support.
D: This answer is misleading as HIV mortality rates have significantly decreased with advancements in treatment, and planning for death should not be the primary focus for individuals living with HIV.

general, what is the two common areas in schools in which children with hearing loss have troubles?

  • A. Science and social studies
  • B. One in four
  • C. Reading and writing
  • D. Math and science
Correct Answer: C

Rationale: Reading and writing are most affected, as hearing loss impairs language development critical to these skills.

Describe three of the seven SFT interventions.

  • A. Joining, boundary-making, unbalancing
  • B. Lecturing, punishing, isolating
  • C. Analyzing dreams, free association, transference
  • D. Mediation, arbitration, negotiation
Correct Answer: A

Rationale: Joining builds rapport, boundary-making clarifies roles, unbalancing shifts power dynamics in SFT.

The nurse is engaging in patient- and family-centered care most effectively when:

  • A. Including a client's homosexual partner in the discussion regarding discharge planning.
  • B. Allowing a client admitted for acute psychiatric care to be visited by family members.
  • C. Helping a cognitively impaired client call his parents who live out of state.
  • D. Volunteering at a clinic that provides free services to clients of all ages.
Correct Answer: A

Rationale: The correct answer is A because including a client's homosexual partner in discharge planning demonstrates respect for the client's relationships and values, promoting inclusivity and support. This aligns with patient- and family-centered care principles. Choice B is incorrect as it focuses on visitation rights rather than involving the family in care decisions. Choice C involves the nurse facilitating communication but does not necessarily demonstrate partnership with the client's support system. Choice D, while commendable, does not directly relate to individualized care for a specific patient and their family.

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