Concept of Family Health Nursing Care

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Which statement made by a family member of an individual recently diagnosed with schizophrenia supports the nurse's assessment that the family will respond well to care strategies that support the competence model of care?

  • A. How long will it be before he will need to be cared for by others?'
  • B. Is his illness chronic or does he have a chance of getting well again?'
  • C. My mother will be devastated to hear that my brother is mentally ill.'
  • D. Our brother is family and we will be there to support him in every way we can.'
Correct Answer: D

Rationale: The correct answer is D because it demonstrates a supportive and inclusive attitude towards the individual with schizophrenia. By stating, "Our brother is family and we will be there to support him in every way we can," the family member acknowledges the importance of familial support and unity in the care of their loved one. This aligns with the competence model of care, which emphasizes empowerment, collaboration, and the importance of relationships in supporting individuals with mental health conditions.

A, B, and C are incorrect because they focus on negative aspects of the diagnosis, such as dependency, chronicity, and potential devastation, which do not reflect the positive and supportive approach needed for effective care strategies based on the competence model.

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The family of a patient with AIDS has been instructed on patient manifestations to report to the health care provider (HCP). Which manifestation should be reported indicating that teaching has been effective?

  • A. Fever
  • B. Dry mouth
  • C. Night sweats
  • D. Constipation
Correct Answer: C

Rationale: The correct answer is C: Night sweats. Night sweats are a common symptom of advanced HIV/AIDS, indicating a weakened immune system. Reporting this symptom is crucial for monitoring disease progression and adjusting treatment. Fever (A) is common in many conditions, dry mouth (B) is not specific to AIDS, and constipation (D) is not a typical manifestation of AIDS. Reporting night sweats shows understanding of the disease process and the importance of monitoring symptoms in AIDS patients.

Semantic memory is the type of-----:

  • A. Episodic memory
  • B. Short term memory
  • C. Explicit memory
  • D. Cognitive memory
Correct Answer: C

Rationale: Semantic memory, storing general knowledge, is a form of explicit (conscious) memory, per Tulving.

Which finding indicates the successful completion of an individuals grieving process?

  • A. For two years, a person has kept the deceased spouses belongings in their usual places.
  • B. After 15 months, a widowed person realistically remembers both the pleasures and disappointments of the relationship with the spouse.
  • C. Three years after the death, a person talks about the spouse as if the spouse was still alive and weeps when others mention the spouses name.
  • D. Eighteen months after the spouses death, a person says, I never cry or have feelings of loss even though we were always very close.
Correct Answer: B

Rationale: The work of grieving is over when the bereaved can remember the individual realistically and acknowledge both the pleasure and disappointments associated with the loved one. The individual is then free to enter into new relationships and activities. The other options suggest unresolved grief.

The nurse is contributing to a teaching plan. What should the nurse emphasize as being the most effective method known to control the spread of HIV infection?

  • A. Premarital serological screening
  • B. Prophylactic exposure treatment
  • C. HIV screening for pregnant women
  • D. Education about preventive behaviors
Correct Answer: D

Rationale: The correct answer is D: Education about preventive behaviors. This is the most effective method to control the spread of HIV infection because it empowers individuals with knowledge on how to prevent transmission through safe practices such as condom use and avoiding sharing needles. Premarital serological screening (A) may only identify HIV infection in one partner and does not address prevention. Prophylactic exposure treatment (B) is a form of post-exposure prophylaxis, not a primary prevention method. HIV screening for pregnant women (C) is important for preventing mother-to-child transmission but does not directly control the spread among the general population.

he theorist associated with hierarchy of human needs is

  • A. Sigmund Freud
  • B. Carl Rogers
  • C. Abraham Maslow
  • D. Erik Erikson
Correct Answer: C

Rationale: Abraham Maslow developed the hierarchy of needs, from basic survival to self-actualization.

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