Core Concepts of Patient Family Care

Core Concepts of Patient Family Care Related

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Which treatment approach is most appropriate for a patient with antisocial tendencies who has been treated several times for substance addiction but has relapsed?

  • A. One-week detoxification program
  • B. Long-term outpatient therapy
  • C. Twelve-step self-help program
  • D. Residential program
Correct Answer: D

Rationale: The correct answer is D: Residential program. This option is most appropriate because a residential program provides a highly structured environment with 24/7 support and supervision, which is crucial for individuals with antisocial tendencies and a history of relapse. This intensive setting helps address the complex needs of the patient, including addiction and behavioral issues. On the other hand, A (One-week detox program) is too short and does not address the underlying issues. B (Long-term outpatient therapy) may not provide sufficient support and monitoring for someone with a high risk of relapse. C (Twelve-step self-help program) can be beneficial but may not offer the level of supervision and intensive treatment needed for this patient.

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Children develop a sense of initiative between:

  • A. 0-1 year
  • B. 1-3 years
  • C. 3-5 years
  • D. 5-7 years
Correct Answer: C

Rationale: Erikson's initiative vs. guilt stage (3-5 years) fosters a sense of purpose and initiative.

The nurse demonstrates appropriate Asian-American cultural sensitivity when:

  • A. Substituting the word 'sadness' for depression when participating at a health fair at a local Asian-American senior center.
  • B. Anticipating that the Asian-American teenager is well educated concerning the dangers of tobacco and marijuana abuse.
  • C. Being particularly interested in the older Asian-American's view regarding the role of alcohol in managing stress.
  • D. Evaluating the critical thinking skills and short-term recall abilities of the Asian-American female over the age of 70.
Correct Answer: A

Rationale: The correct answer is A because using the term 'sadness' instead of 'depression' shows cultural sensitivity. In many Asian cultures, mental health terms like 'depression' can carry stigma and be taboo. By using a milder term like 'sadness,' the nurse acknowledges and respects the cultural nuances around mental health. This approach can help build trust and rapport with the Asian-American community.

Choices B, C, and D are incorrect because they do not directly address cultural sensitivity in the same way as choice A. Anticipating an Asian-American teenager's education level or focusing on an older person's views on alcohol and evaluating cognitive abilities do not demonstrate the same level of cultural sensitivity as being mindful of the language used when discussing mental health.

Which comment by the nurse would best support relationship building with a survivor of intimate partner abuse?

  • A. You are feeling violated because you thought you could trust your partner.
  • B. Im here for you. I want you to tell me about the bad things that happened to you.
  • C. I was very worried about you. I knew you were living in a potentially violent situation.
  • D. Abusers often target people who are passive. I will refer you to an assertiveness class.
Correct Answer: A

Rationale: The correct option uses the therapeutic technique of reflection. It shows empathy, an important nursing attribute for establishing rapport and building a relationship. None of the other options would help the patient feel accepted.

Place the following phases of crisis in the correct sequential order. Order each response with a number from first to last, with #1 as the first phase of crisis to #4 which is the fourth phase of crisis. 1. The signs and symptoms of the General Adaptation Syndrome 2. Detachment and disorientation 3. Trying alternative methods of coping 4. The use of psychological ego defense mechanisms

  • A. 3,2,1,4
  • B. 1,2,3,4
  • C. 4,3,2,1
  • D. 4,3,1,2
Correct Answer: B

Rationale: Crisis phases (B: 1,2,3,4) follow GAS, detachment, coping attempts, and defense mechanisms.

hich of the following statements is not correct?

  • A. Lecture method is a one way process
  • B. During lecture method students are passive
  • C. Lecture method can develop knowledge
  • D. Lecture method can develop reasoning
Correct Answer: D

Rationale: Lectures are less effective for developing reasoning, which requires active engagement, not passive listening.

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