Concept of Family Health Nursing Care

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Which intervention will have the greatest impact on reducing the stigma and rejection currently experienced by individuals with mental illness?

  • A. Providing services to the mentally ill that minimize the need to rely upon the community
  • B. Holding activities at mental health facilities that are open to the community to foster acceptance
  • C. Educating local citizen groups on the needs and experiences of the mentally ill in their community
  • D. Focusing on improving the socialization skills of mentally ill individuals living in the community
Correct Answer: C

Rationale: The correct answer is C: Educating local citizen groups on the needs and experiences of the mentally ill in their community. This intervention addresses the root cause of stigma - lack of understanding and awareness. By educating the community, misconceptions can be corrected, empathy can be cultivated, and stigma can be reduced. Choice A does not directly address stigma reduction but rather focuses on minimizing reliance on the community. Choice B, while promoting acceptance, may not necessarily tackle stigma at its core. Choice D, improving socialization skills, is beneficial but may not address the systemic issue of stigma. Ultimately, educating the community is key to fostering a more inclusive and supportive environment for individuals with mental illness.

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It is the judgment of personal performance compared with the self-ideal:

  • A. Self-concept
  • B. Self-identity
  • C. Self-assessment
  • D. Self-esteem
Correct Answer: D

Rationale: Self-esteem is the comparison between actual performance and ideal self, per Rogers.

Select the most appropriate outcome for a patient completing the fourth alcohol detoxification program in 1 year. Before discharge, the patient will

  • A. use rationalization in healthy ways.
  • B. state, 'I see the need for ongoing treatment.'
  • C. identify constructive outlets for expression of anger.
  • D. develop a trusting relationship with one staff member.
Correct Answer: B

Rationale: The correct answer is B because stating 'I see the need for ongoing treatment' demonstrates insight and willingness to engage in further treatment, indicating a readiness for change. This is crucial for someone who has completed multiple detox programs in a short period. Choice A (using rationalization in healthy ways) may not address the underlying issues leading to repeated detox programs. Choice C (identifying constructive outlets for expression of anger) is important but not the most urgent concern after detox. Choice D (developing a trusting relationship with one staff member) is beneficial but does not address the need for ongoing treatment.

Moxibustion (or moxa), through heat generated by the burning of mugwort (a spongy herb), is used by traditional Chinese practitioners to treat many conditions. Which of the following Western treatments is most likely to be impacted by concurrent moxibustion?

  • A. Oral medications
  • B. Topical medications
  • C. Inhaled medications
  • D. Surgical interventions
Correct Answer: B

Rationale: Topical medications may interact with moxibustion due to skin application and heat effects.

he theorist associated with hierarchy of human needs is

  • A. Sigmund Freud
  • B. Carl Rogers
  • C. Abraham Maslow
  • D. Erik Erikson
Correct Answer: C

Rationale: Abraham Maslow developed the hierarchy of needs, from basic survival to self-actualization.

Which nursing activity is a direct result of the Community Mental Health Centers Act of 1963?

  • A. Being a member of a client's multidisciplinary treatment team
  • B. Performing an extensive admissions assessment for each hospitalized client
  • C. Using physical restraints as only the last resort when client safety requires it
  • D. Educating a client on the role of neurotransmitters in chronic depression
Correct Answer: A

Rationale: The correct answer is A because the Community Mental Health Centers Act of 1963 emphasized a multidisciplinary approach to mental health care, requiring nurses to be part of a client's treatment team. This legislation aimed to provide comprehensive community-based mental health services, promoting collaboration among different professionals to address clients' needs holistically.

Choice B is incorrect because extensive admissions assessments were not a direct result of this act. Choice C is incorrect as the act did not specifically address the use of physical restraints. Choice D is incorrect because educating clients on neurotransmitters is not directly linked to the Community Mental Health Centers Act of 1963.

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