Concept of Family Centered Care

Concept of Family Centered Care Related

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Which serious side effect of Elavil requires immediate intervention? A. Orthostatic hypotension B. Urinary retention C. ECG changes D. Sedation

  • A. Orthostatic hypotension
  • B. Urinary retention
  • C. ECG changes
  • D. Sedation
Correct Answer: B

Rationale: The correct answer is B: Urinary retention. Elavil, a tricyclic antidepressant, can cause anticholinergic effects leading to urinary retention, which can be a serious side effect requiring immediate intervention to prevent complications like urinary retention, necessitating prompt medical attention to prevent potential complications such as bladder distention or urinary retention-induced kidney damage.

A: Orthostatic hypotension - While Elavil can cause orthostatic hypotension, it is not typically considered a serious side effect that requires immediate intervention.
C: ECG changes - Elavil can cause ECG changes, but they may not always necessitate immediate intervention.
D: Sedation - Sedation is a common side effect of Elavil but is not typically considered a serious side effect requiring immediate intervention.

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One common way of exploring in early childhood is by

  • A. Avoiding
  • B. Asking
  • C. Listening
  • D. Reading
Correct Answer: B

Rationale: Asking questions is a primary exploratory method in young children.

The nurse psychotherapist is working with the Jones family in the outpatient mental health clinic. The husband says, 'We can’t agree on anything! And it seems like every time we disagree on something it ends up in a screaming match.' Which of the following prescriptions by the nurse represents a paradoxical intervention for the Jones family?

  • A. Mr. and Mrs. Jones must not have a disagreement for one full day.
  • B. Mr. and Mrs. Jones will yell at each other on Tuesdays and Thursdays from 8 p.m. until 8:10 p.m.
  • C. Mr. and Mrs. Jones must refrain from yelling at each other until the next counseling session.
  • D. Mr. and Mrs. Jones must not discuss serious issues until they can do so without yelling at each other.
Correct Answer: B

Rationale: The correct answer is B because a paradoxical intervention involves prescribing the symptom or issue that the client is struggling with. In this case, the Jones family is experiencing frequent yelling matches when they disagree. By prescribing a specific time for them to yell at each other, the nurse is challenging the dysfunctional pattern and creating an opportunity for them to confront and potentially change their behavior.

Choice A is incorrect because it simply avoids the issue without addressing the underlying problem. Choice C is incorrect as it also avoids the issue by postponing the yelling until the counseling session. Choice D is incorrect because it suggests avoiding serious discussions altogether, which doesn't address the root cause of the conflict.

Causes of in elderly include loneliness and isolation.

  • A. Stress
  • B. Depression
  • C. Anxiety
  • D. Anemia
Correct Answer: B

Rationale: Depression in the elderly is commonly linked to loneliness and isolation, per psychological research.

An example of a maturational crisis would be:

  • A. Experiencing an unplanned pregnancy.
  • B. Losing one's job within months of retiring.
  • C. Working at a bank that was recently robbed.
  • D. Having one's only child leave home to attend college.
Correct Answer: D

Rationale: The correct answer is D because having one's only child leave home to attend college is an example of a maturational crisis. This event represents a significant life transition that can trigger emotional distress and force a reevaluation of one's identity and roles as a parent. It is a normal developmental milestone that signifies a shift in family dynamics and requires adjustment to an empty nest.

A: Experiencing an unplanned pregnancy is not a maturational crisis as it is more related to a situational crisis.
B: Losing one's job within months of retiring is not a maturational crisis but rather a situational crisis related to financial security.
C: Working at a bank that was recently robbed is not a maturational crisis but a situational crisis related to work safety and stress.

A patient in an alcohol rehabilitation program says, 'I have been a loser all my life. I’m so ashamed of what I have put my family through. Now, I’m not even sure I can succeed at staying sober.' Which nursing diagnosis applies?

  • A. Chronic low self-esteem
  • B. Situational low self-esteem
  • C. Disturbed personal identity
  • D. Ineffective health maintenance
Correct Answer: A

Rationale: The correct answer is A: Chronic low self-esteem. The patient's statement reflects long-standing feelings of inadequacy and worthlessness, indicating a chronic issue rather than a temporary situation (situational low self-esteem). The statement also reveals a negative perception of self, which aligns with chronic low self-esteem. Disturbed personal identity refers to confusion in one's sense of self, which is not evident in the patient's statement. Ineffective health maintenance pertains to the inability to identify, manage, and seek help for health problems, which is not the primary issue in this scenario. Therefore, A is the most appropriate nursing diagnosis.

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