Concept of Family Centered Care

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When working with a patient beginning treatment for alcohol dependence, what is the nurse’s most therapeutic approach?

  • A. Empathetic, supportive
  • B. Strong, confrontational
  • C. Skeptical, guarded
  • D. Cool, distant
Correct Answer: A

Rationale: The correct answer is A: Empathetic, supportive. This approach establishes trust, shows understanding, and promotes open communication. Empathy helps build a therapeutic relationship, which is crucial in treating alcohol dependence. Being supportive encourages the patient to feel safe and willing to discuss their issues. Strong, confrontational (B) may lead to resistance and defensiveness. Skeptical, guarded (C) can create barriers and hinder progress. Cool, distant (D) may make the patient feel isolated and unsupported. Overall, empathy and support create a positive and collaborative therapeutic environment.

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Which of the following physician barriers can affect a patient's adherence?

  • A. Lack of insight into the patient's illness
  • B. Inadequate explanation of instructions
  • C. Cost of medications or treatment
  • D. Distraction by other life issues or priorities
Correct Answer: B

Rationale: Clear instructions are critical for adherence; inadequate explanations often lead to misunderstanding and non-compliance.

A patient asks for information about Alcoholics Anonymous (AA). Which is the nurse’s best response?

  • A. It is a self-help group with the goal of sobriety.'
  • B. It is a form of group therapy led by a psychiatrist.'
  • C. It is a group that learns about drinking from a group leader.'
  • D. It is a network that advocates strong punishment for drunk drivers.'
Correct Answer: A

Rationale: The correct answer is A: "It is a self-help group with the goal of sobriety." This is the best response because Alcoholics Anonymous (AA) is indeed a self-help group focused on achieving and maintaining sobriety through shared experiences and support. Choice B is incorrect because AA is not led by a psychiatrist but rather by individuals who are also in recovery. Choice C is incorrect as AA does not focus on learning about drinking but rather on supporting recovery. Choice D is incorrect as AA does not advocate for punishment but rather emphasizes compassion and understanding towards individuals struggling with alcohol addiction.

The nurse is preparing to provide education related to HIV transmission at a local community health fair. Which statements should the nurse recommend for inclusion in the teaching? (Select all that apply.)

  • A. Use oil-based lubricants.
  • B. Use a new condom for each sex act.
  • C. Use condoms that are not made of latex.
  • D. Fit condom tightly over the tip of the penis.
Correct Answer: B

Rationale: Step 1: Using a new condom for each sex act helps reduce the risk of HIV transmission by preventing the exchange of bodily fluids.
Step 2: This practice ensures that there is no risk of contamination from a previously used condom.
Step 3: It is a crucial aspect of safe sex practices to protect oneself and others from contracting HIV.
Summary: Choice B is correct as it promotes safe sex practices. Choices A, C, and D are incorrect as they do not contribute to reducing the risk of HIV transmission.

The psychological test measure projective responses is

  • A. Rorschach
  • B. MMPI
  • C. WAIS
  • D. TAT
Correct Answer: A

Rationale: The Rorschach test uses projective responses to uncover unconscious processes.

Which federal law is most closely associated with the highly restrictive “need to know”?

  • A. The Patient Self Determination Act
  • B. The Mental Health Parity Act
  • C. The Health Insurance Portability and Accountability Act
  • D. The Americans with Disabilities Act of 1990
Correct Answer: C

Rationale: HIPAA enforces strict 'need to know' provisions for medical information.

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