Concept of Family Health Care

Concept of Family Health Care Related

Review Concept of Family Health Care related questions and content

Which treatment has been identified as a best practice for persons with borderline personality disorder?

  • A. Dialectical behavioral therapy (DBT)
  • B. Cognitive Behavioral Therapy (CBT)
  • C. Mindfulness-Based Cognitive Therapy (MBCT)
  • D. Exposure and Response Prevention (ERP)
Correct Answer: A

Rationale: The correct answer is A: Dialectical Behavioral Therapy (DBT). DBT is specifically designed for individuals with borderline personality disorder, focusing on emotion regulation, distress tolerance, interpersonal effectiveness, and mindfulness. It has shown to be effective in reducing self-harm behaviors and improving overall functioning. CBT (B) may be helpful for some symptoms but lacks the comprehensive approach of DBT. MBCT (C) is primarily used for depression and may not address the specific needs of individuals with borderline personality disorder. ERP (D) is used for anxiety disorders, not BPD.

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You are the supervising nurse in a physical rehabilitation center that has the philosophy that clients have the need to cope with their disabilities and its limitations are the result of a discrepancy between the client's abilities and the limitations of the physical and social environment within which the client lives. Which model of disability is this philosophy based on?

  • A. Orem's Self Care Model
  • B. Nagi's Model
  • C. A cognitive model of disability
  • D. A biomedical model of disability
Correct Answer: B

Rationale: Nagi's Model (B) focuses on ability-environment discrepancies.

There are ----------------types of family based on residence:

  • A. 5
  • B. 2
  • C. 4
  • D. 3
Correct Answer: D

Rationale: Family types by residence are 3: matrilocal, patrilocal, and neolocal.

The child's ability to understand relationships develops during

  • A. Sensorimotor
  • B. Preoperational
  • C. Concrete operational
  • D. Formal operational
Correct Answer: C

Rationale: Understanding relationships, like classification, develops in the concrete operational stage (Piaget).

Which assessment findings support a nurse’s suspicion that a patient has been using inhalants?

  • A. Perforated nasal septum and hypertension
  • B. Drowsiness, euphoria, and constipation
  • C. Pinpoint pupils and respiratory rate of 12 breaths per minute
  • D. Confusion, mouth ulcers, and ataxia
Correct Answer: D

Rationale: The correct answer is D because confusion, mouth ulcers, and ataxia are common assessment findings in individuals who have been using inhalants. Confusion and ataxia are neurological symptoms associated with inhalant use, while mouth ulcers can result from the toxic effects of inhalants on oral mucosa. These findings indicate central nervous system depression and potential damage from inhalant exposure.

Choices A, B, and C are incorrect because they do not align with typical assessment findings of inhalant use. Perforated nasal septum and hypertension (A) are more commonly associated with chronic cocaine use. Drowsiness, euphoria, and constipation (B) are symptoms of opioid use. Pinpoint pupils and respiratory rate of 12 breaths per minute (C) are indicative of opioid overdose, not inhalant use.

If it is the right of the patient to decide whom to disclose personal medical information to, how should the physician respond when requested to withhold information about a diagnosis from family members?

  • A. Attempt to convince the patient to tell his/her family of their diagnosis
  • B. Ignore the patient's request and ask to have a family conference
  • C. Accept the patient's wishes without further discussion
  • D. Initiate further discussion and help the patient identify a surrogate decision maker
Correct Answer: D

Rationale: Discussion respects autonomy while preparing for future decision-making needs.

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