Core Concepts of Family Centered Care

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Which nursing intervention best demonstrates an understanding of the effects of mental illness in the creation of secondary at-risk populations?

  • A. Educating junior high school students concerning the dangers of drug and alcohol abuse
  • B. Assessing the parenting skills of a father diagnosed with obsessive-compulsive disorder (OCD)
  • C. Assessing the friends of a teenager who was recently hospitalized for an eating disorder for signs of the same disorder
  • D. Providing the parents of a child diagnosed with obsessive-compulsive disorder (OCD) with information on behavior modification
Correct Answer: B

Rationale: Step-by-step rationale for why choice B is correct:
1. Mental illness can impact parenting skills.
2. Assessing parenting skills of a father with OCD is crucial to understand potential risks to the child.
3. OCD may affect parenting abilities, leading to neglect or inappropriate care.
4. By assessing parenting skills, nurses can identify and address risks to the child's well-being.

Summary of why other choices are incorrect:
A: Educating junior high students on drug abuse is important but does not directly address at-risk populations created by mental illness.
C: Assessing friends for signs of eating disorders is relevant but does not focus on understanding the impact of mental illness on caregiving roles.
D: Providing information on behavior modification to parents is helpful but does not directly assess the impact of mental illness on parenting skills.

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The lack of necessary supplies and equipment to adequately and safely care for patients is an example of a (n):

  • A. Sentinel event.
  • B. System variance.
  • C. Adverse effect.
  • D. Provider variance.
Correct Answer: B

Rationale: System variances involve deficiencies in resources or processes.

----aims at discussing and understanding the problem, advising and empowering him to take a decision concerning his/her career or life goals in one-to-one sessions:

  • A. Guidance
  • B. Counseling
  • C. Advice
  • D. Advise
Correct Answer: B

Rationale: Counseling empowers decision-making through one-on-one problem exploration (Rogers).

Which individual has not met the criteria for involuntary commitment to a mental health facility?

  • A. A teenager who has threatened to shoot himself if his girlfriend leaves him
  • B. A young adult who is 20% below normal weight as a result of dramatically restricting food
  • C. An older adult found wandering in the mall who is unable to provide his name
  • D. An adult who reports that he drinks way too much in order to forget the abuse he's endured
Correct Answer: D

Rationale: The correct answer is D because excessive alcohol consumption, while harmful, does not inherently meet the criteria for involuntary commitment. Step 1: Involuntary commitment typically requires imminent danger to self or others. Step 2: While excessive alcohol consumption is concerning, it does not necessarily indicate immediate danger. Step 3: Choices A, B, and C all involve behaviors or conditions that pose a more immediate risk, such as threats of self-harm, severe physical health issues, or disorientation. Thus, D is the only option where the behavior does not meet the criteria for involuntary commitment.

What common side effects would the nurse inform a patient of who has just been prescribed Celexa?

  • A. Gastrointestinal disturbances
  • B. Sexual dysfunction
  • C. Thyroid function
  • D. Tachycardia
Correct Answer: A

Rationale: The correct answer is A: Gastrointestinal disturbances. Celexa (citalopram) is known to commonly cause gastrointestinal side effects such as nausea, diarrhea, and indigestion. This is important for the nurse to inform the patient about to manage expectations and potential discomfort. Choices B, C, and D are incorrect because sexual dysfunction, thyroid function, and tachycardia are not common side effects associated with Celexa. Overall, it is crucial for the nurse to educate the patient on the most common side effects to ensure proper monitoring and management.

Which of the following is NOT one of Ryff's fundamental elements of psychological well-being:

  • A. Life purpose
  • B. Social growth
  • C. Positive relatedness
  • D. Self-acceptance
Correct Answer: B

Rationale: Ryff's 6 elements are purpose, autonomy, mastery, relatedness, self-acceptance, and personal growth (not social growth).

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