Which of the following correctly identifies the role of the physician and the patient in making health care decisions?
- A. The physician is the ultimate authority in making decisions about a patient's health
- B. The physician and the patient must establish together who makes decisions about the patient's health
- C. The physician has little direct influence on the patient's personal health choices
- D. Although it is the physician's responsibility to instruct the patient about his or her condition, the physician must ultimately respect the patient's personal health choices
Correct Answer: D
Rationale: Shared decision-making balances physician expertise with patient autonomy.
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Describe some of the environmental factors affecting families.
- A. Poverty, housing, community violence
- B. Personal beliefs, moral values
- C. Individual talents, personal goals
- D. Therapist biases, session frequency
Correct Answer: A
Rationale: Environmental factors like poverty and violence directly impact family functioning.
In ---------------- unique family system known as KIBBUTZ is found:
- A. China
- B. Denmark
- C. Israel
- D. Africa
Correct Answer: C
Rationale: The kibbutz, a communal family system, is unique to Israel.
An 11-year-old reluctantly tells the nurse, My parents dont like me. They said they wish I was never born. Which type of abuse is likely?
- A. Sexual
- B. Physical
- C. Emotional
- D. Economic
Correct Answer: C
Rationale: Examples of emotional abuse include having an adult demean a childs worth, frequently criticize, or belittle the child. No data support physical battering or endangerment, sexual abuse, or economic abuse.
Intervention with Andrew (from question 12) would include:
- A. Encouraging expression of feelings
- B. Antianxiety medications
- C. Participation in a support group
- D. All of the above
Correct Answer: D
Rationale: The correct answer is D because a comprehensive intervention for Andrew should include all options. Encouraging expression of feelings helps him process emotions. Antianxiety medications can address his symptoms. Participation in a support group offers additional emotional support and coping strategies. Each option plays a crucial role in Andrew's holistic care, addressing his emotional, physical, and social needs. A combination of these interventions provides a well-rounded approach to support Andrew's mental health and well-being.
Carol, a nurse in a family medicine outpatient clinic, conducts initial interviews when new families are referred. She has just finished interviewing a mother who has come to the clinic with her three children, ages 5, 7, and 11. The mother says to the oldest child, 'You have been such a help to me, playing with your brothers while I talk to the nurse.' In assessing family interaction, the nurse recognizes this statement as a direct indicator of which of the following?
- A. Family climate
- B. Family members’ expectations
- C. Handling differences
- D. Self-concept reinforcement
Correct Answer: D
Rationale: The correct answer is D: Self-concept reinforcement. The mother's statement to the oldest child acknowledges and reinforces the child's positive behavior of helping with siblings, which can contribute to enhancing the child's self-concept. This type of positive reinforcement can boost the child's self-esteem and self-worth. It also indicates that the mother values and appreciates the child's role in the family dynamic, which can have a positive impact on the child's self-perception and confidence.
A: Family climate - While the mother's statement may reflect a positive family climate, the focus is more on individual behavior and self-concept reinforcement.
B: Family members’ expectations - The statement does not directly relate to expectations but rather acknowledges the child's helpful behavior.
C: Handling differences - The statement does not pertain to resolving conflicts or differences within the family but rather highlights positive behavior.