Concept of Family Health Nursing Care

Concept of Family Health Nursing Care Related

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Which nursing diagnosis would likely apply to both patients with paranoid schizophrenia and patients with amphetamine-induced psychosis?

  • A. Powerlessness
  • B. Disturbed thought processes
  • C. Ineffective thermoregulation
  • D. Impaired oral mucous membrane
Correct Answer: B

Rationale: The correct answer is B: Disturbed thought processes. Both patients with paranoid schizophrenia and amphetamine-induced psychosis commonly experience altered thinking patterns, hallucinations, and delusions. This nursing diagnosis addresses the cognitive disruptions present in both conditions.

Incorrect choices:
A: Powerlessness - This diagnosis refers to a lack of control over one's life situation, which may not be a primary concern for these patients.
C: Ineffective thermoregulation - This diagnosis relates to the body's ability to maintain temperature, which is not typically affected in these conditions.
D: Impaired oral mucous membrane - This diagnosis is related to issues with the mouth's lining and is not typically associated with paranoid schizophrenia or amphetamine-induced psychosis.

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In order to best evaluate the achievement of goals of individual stress management group members, the nurse leading the group:

  • A. Has each member at the last meeting write a short description of how the sessions helped him or her manage stress more effectively.
  • B. Asks each member at each session to demonstrate a stress management technique he or she has learned while attending the sessions.
  • C. Periodically asks the members to rate their ability to manage stress using the techniques learned in the group sessions on a Likert scale.
  • D. Has each member's ability to manage stress evaluated by the group at the final session.
Correct Answer: C

Rationale: The correct answer is C because using a Likert scale to periodically ask group members to rate their ability to manage stress with the techniques learned provides quantitative data for evaluating progress. This method allows for tracking changes over time and identifying trends in stress management improvement.

A is incorrect because it relies on subjective self-reporting at the last meeting only, which may not capture ongoing progress. B is incorrect as it focuses on individual demonstrations at each session, which may not reflect overall stress management improvement. D is incorrect as it relies on group evaluation at the final session, which may not provide consistent and individualized feedback throughout the program.

Psychologicalization of illness' is best defined by which of following statements?

  • A. Redefinition of illness as an intangible process
  • B. Examination of the effects of physical illness on a patient's mental capacity
  • C. The stress response to acute illness
  • D. Overemphasis on psychological factors without just evidence
Correct Answer: D

Rationale: Psychologicalization overattributes symptoms to mental causes without evidence.

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.

Your client has a doctor's order for the antihistamine medication diphenhydramine for sleep. What should you do?

  • A. Question the order because Benadryl is an antihistamine and not a sleeping medication.
  • B. Refuse to give the Benadryl because this medication is a stimulant.
  • C. Question the order because Benadryl is contraindicated when the client has a sleep inducement disorder.
  • D. Give the Benadryl because sleep inducement is an accepted off label use of this medication.
Correct Answer: D

Rationale: Diphenhydramine (D) is commonly used off-label for sleep.

Annie is a 5 year old who has been the victim of sexual abuse by a family member. Which of the following therapeutic techniques would be especially useful in helping Annie express her feelings?

  • A. Individual psychotherapy
  • B. Behavior modification
  • C. Family therapy sessions
  • D. Drawing
Correct Answer: D

Rationale: Because she is so young, Annie may have great difficulties expressing her feelings and experiences in words. Drawing allows her self-expression in an age-appropriate manner.

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