Concept of Family Centered Care

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Which nursing intervention best builds a therapeutic nurse-client relationship?

  • A. Actively listening as the client expresses his or her thoughts and feelings
  • B. Intervening when the client begins to state beliefs that come from his or her illness
  • C. Evaluating a client's behaviors and interpersonal relationships frequently to identify stressors
  • D. Passively allowing the client to control the communication and tone of the discussions
Correct Answer: A

Rationale: The correct answer is A because actively listening allows the nurse to show empathy, understanding, and respect towards the client, which are essential for building a therapeutic relationship. By actively listening, the nurse can demonstrate genuine interest in the client's thoughts and feelings, fostering trust and rapport.

Choice B is incorrect as intervening when the client expresses beliefs from their illness may disrupt the client's expression and hinder the development of trust.

Choice C is incorrect because evaluating behaviors and relationships may create a sense of judgment and lack of privacy, which can be detrimental to the therapeutic relationship.

Choice D is incorrect because passively allowing the client to control communication may lead to a lack of direction and boundaries, potentially hindering effective communication and rapport-building.

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The nurse is addressing a primary symptom of schizophrenia when:

  • A. Arranging for the client to attend stress management classes.
  • B. Reinforcing the client's ability to interrupt intrusive paranoid thoughts.
  • C. Working with the client to arrive at a budget that allows him to live independently.
  • D. Supporting the client in his attempts to stop using alcohol to cope with his hallucinations.
Correct Answer: B

Rationale: The correct answer is B because reinforcing the client's ability to interrupt intrusive paranoid thoughts addresses a primary symptom of schizophrenia, which is distorted thinking patterns. Helping the client develop skills to challenge and manage these thoughts is a key aspect of schizophrenia treatment.

A: Arranging stress management classes may be helpful but does not directly address the primary symptom of distorted thinking.
C: Working on a budget for independent living is important but does not directly target the primary symptom of schizophrenia.
D: Supporting the client to stop using alcohol may be beneficial, but it does not directly address the primary symptom of distorted thinking associated with schizophrenia.

A patient in need of surgery expresses the belief that exposing lung cancer to air during surgery can cause the tumor to spread. What might this belief reflect?

  • A. Personal investigation of the mechanisms of cancer spread
  • B. General fear of surgery or distrust of the physician
  • C. A trust in conventional chemotherapy over surgical treatments
  • D. An understanding of the risks and benefits of surgery
Correct Answer: B

Rationale: This reflects a common folk belief tied to fear or mistrust, not scientific reasoning.

Which statement best demonstrates the current status of the benefit of family involvement to the individual who is mentally ill?

  • A. Family involvement is limited by the current confidentiality laws enforced by HIPAA.
  • B. Family involvement is best stressed once the individual's mental health status has been stabilized.
  • C. Despite education, families are generally ill prepared to significantly impact the mental health of their family member.
  • D. While the benefits are well documented, the service is not consistently offered in the majority of mental health systems.
Correct Answer: D

Rationale: The correct answer is D because it highlights the current status of the benefit of family involvement for individuals who are mentally ill. It acknowledges that while the benefits of family involvement are well documented, the actual service is not consistently offered in most mental health systems. This indicates a gap between research evidence and practical implementation, hindering the full realization of the benefits.

Explanation for why other choices are incorrect:
A: Incorrect because although confidentiality laws like HIPAA may pose challenges, they do not necessarily limit family involvement entirely.
B: Incorrect because family involvement is crucial throughout the mental health journey, not just after stabilization.
C: Incorrect because with proper support and resources, families can have a significant impact on the mental health of their loved ones.

----study of twins found that hypersensitivity to light and sound may have a strong genetic component:

  • A. 2005
  • B. 2006
  • C. 2007
  • D. 2008
Correct Answer: C

Rationale: A 2007 twin study linked hypersensitivity to genetics, supporting SPD's hereditary basis.

You need to see a doctor for hearing loss when

  • A. Sounds seem muffled
  • B. One in four
  • C. Difficulty understanding words against background noise
  • D. Both A and C
Correct Answer: D

Rationale: Muffled sounds and speech comprehension issues signal a need for medical attention.

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