Concept of Family Health Care

Concept of Family Health Care Related

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Which nursing-focused activity is best directed toward the future of evidence-based psychiatric nursing practice?

  • A. Offering depression screening to all ages on a regular basis
  • B. Working towards an advanced practice psychiatric nursing degree
  • C. Discussing nursing interventions with the client's multidisciplinary care team
  • D. Re-evaluating the validity of traditionally accepted psychiatric nursing care interventions
Correct Answer: D

Rationale: The correct answer is D because re-evaluating the validity of traditionally accepted psychiatric nursing care interventions aligns with evidence-based practice principles. By critically examining current practices and seeking evidence to support them, nurses can ensure that interventions are based on the best available evidence.

A: Offering depression screening is important but does not specifically address evidence-based practice for psychiatric nursing.
B: Pursuing an advanced practice degree is beneficial for individual growth but does not directly impact evidence-based practice for the field.
C: Discussing nursing interventions with the care team is collaborative but may not necessarily focus on evidence-based practice specifically.

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Which question asked by the nurse best serves as a screening tool for the assessment of a possible problem with alcohol abuse?

  • A. When was the last time you drank alcohol?'
  • B. Is there a history of alcohol abuse in your immediate family?'
  • C. How old were you when you had your first drink of alcohol?'
  • D. In the last year, did you ever drink more alcohol than you intended to?'
Correct Answer: D

Rationale: The correct answer is D because it directly assesses the individual's control over alcohol consumption, a key indicator of potential alcohol abuse. By asking if the person has ever consumed more alcohol than intended in the last year, the nurse can gauge if there are issues with self-regulation and potential abuse. Choices A, B, and C focus on past behaviors or family history, which are important but do not directly address current patterns of alcohol consumption and potential abuse.

What cardiovascular medication is often introduced for persons suffering from performance anxiety, social phobia, or panic disorder?

  • A. Propranolol (Inderal)
  • B. Explosive occipital headache
  • C. Clonazepam for myoclonus
  • D. Course hand tremor
Correct Answer: A

Rationale: Rationale: Propranolol (Inderal) is a beta-blocker commonly used to manage physical symptoms associated with anxiety, such as tremors and rapid heart rate. It is effective for performance anxiety, social phobia, and panic disorder by reducing physiological symptoms without affecting cognitive functions. Other choices like B, C, and D are not indicated for these conditions and do not target the cardiovascular symptoms associated with anxiety.

When communicating with a Muslim patient about end-of-life issues, which of the following statements best shows respect and mindfulness about Muslim beliefs?

  • A. Death is expected soon
  • B. We are fighting a losing battle
  • C. We need to start considering options for hospice care
  • D. No one knows when, where, or how someone will die
Correct Answer: D

Rationale: This reflects Islamic belief in divine will, showing cultural sensitivity.

The nurse contributed to a staff education program about transmission precautions to use when caring for a patient who has AIDS. Which statement by a staff member indicates a correct understanding of the teaching?

  • A. Wear a mask for any patient contact.'
  • B. Wear a waterproof gown at all times.'
  • C. Wear clean gloves for body fluid contact.'
  • D. Wear sterile gloves for any patient contact.'
Correct Answer: C

Rationale: The correct answer is C: "Wear clean gloves for body fluid contact." This is correct because wearing clean gloves when coming into contact with body fluids is essential to prevent the transmission of infections like AIDS. Sterile gloves are not necessary for routine patient care, and wearing a mask or waterproof gown is not indicated unless there is a specific risk of droplet or airborne transmission. Thus, the staff member demonstrating an understanding of using clean gloves for body fluid contact shows knowledge of proper transmission precautions for caring for a patient with AIDS.

Which of the following methods is most effective when getting a consensus among family members of a patient who lacks decisionmaking capacity?

  • A. Remove oneself from the room and allow the family to discuss among themselves
  • B. Tactfully argue for the most effective procedure
  • C. Use active listening to query about decision-making processes, expectations, and understanding of the patient's illness
  • D. Ask the most senior member of the family to make the final decision
Correct Answer: C

Rationale: Active listening facilitates consensus by understanding family dynamics.

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