Concepts of Family Health Care

Concepts of Family Health Care Related

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Which action by a nurse on the psychiatric nursing unit best supports effective use of evidence-based practice on the unit?

  • A. Asking that the nurse manager arrange for a subscription to an evidence-based nursing journal to be included in the unit's yearly budget
  • B. Suggesting that the unit staff take part in a research study that involves care of the newly diagnosed obsessive-compulsive client
  • C. Recommending changes to a client's care plan based on information provided from randomized controlled research trials
  • D. Volunteering to recruit clients for a unit-based research project that focuses on the abused teenage client
Correct Answer: C

Rationale: The correct answer is C because recommending changes to a client's care plan based on information from randomized controlled research trials directly aligns with evidence-based practice. This action involves using the best available evidence to inform and improve client care, which is a key principle of evidence-based practice. By utilizing research trials, the nurse ensures that interventions are based on proven effectiveness rather than assumptions or personal beliefs.

Option A is incorrect because subscribing to a journal alone does not guarantee application of evidence-based practice. Option B involves participation in a research study, which may not directly translate to immediate improvement in client care. Option D focuses on recruiting clients for a research project rather than directly applying evidence to individual client care plans.

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Parents of a teenager recently diagnosed with serious mental illness express dismay. One parent says, Our child acts so strangely that we dont invite friends to our home. We quit taking vacations. Sometimes we dont get any sleep. Which nursing diagnosis best applies?

  • A. Impaired parenting
  • B. Dysfunctional grieving
  • C. Impaired social interaction
  • D. Interrupted family processes
Correct Answer: D

Rationale: Interrupted family processes are evident in the face of disruptions in family functioning as a result of having a mentally ill member. Assessment data best support this diagnosis. Data are insufficient to support the other diagnoses.

Which is an important nursing intervention when giving care to a patient withdrawing from a central nervous system (CNS) stimulant?

  • A. Make physical contact by frequently touching the patient.
  • B. Offer intellectual activities requiring concentration.
  • C. Avoid manipulation by denying the patient’s requests.
  • D. Observe for depression and suicidal ideation.
Correct Answer: D

Rationale: The correct answer is D because observing for depression and suicidal ideation is crucial when caring for a patient withdrawing from CNS stimulants. Depression and suicidal ideation are common withdrawal symptoms, so monitoring for these signs is essential for the patient's safety. It allows for early intervention and appropriate support to prevent any harm.

Choice A is incorrect as frequent physical contact may not be appropriate and can potentially agitate the patient during withdrawal. Choice B is incorrect as intellectual activities requiring concentration may overwhelm the patient who is already going through withdrawal symptoms. Choice C is incorrect as denying the patient's requests can lead to increased agitation and resistance during withdrawal, which is not conducive to effective care.

When questioning a patient about his/her alcohol intake, which of the following approaches is most effective?

  • A. Frame the question in terms of the patient's ethnicity
  • B. Explain that these questions are always part of a routine social history
  • C. Joke with the patient about your own alcohol intake
  • D. Tell the patient that alcohol is part of everyday life
Correct Answer: B

Rationale: Normalizing the question as routine reduces stigma and encourages honesty.

At what age children smiles at faces:

  • A. Newborns
  • B. 1 months
  • C. 2 months
  • D. 3 months
Correct Answer: C

Rationale: Infants begin social smiling at faces around 2 months, reflecting early social engagement.

Emphasized the importance of curriculum

  • A. Maria Montessori
  • B. Margaret
  • C. McMillan
  • D. Katherine
Correct Answer: A

Rationale: Montessori's structured curriculum was central to her method.

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