Concepts of Family Health Care

Concepts of Family Health Care Related

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Which type of antidepressant pharmaceutical increases the availability of serotonin and norepinephrine by blocking their reuptake at the presynaptic membrane?

  • A. Tricyclic antidepressants (TCAs)
  • B. Tachycardia
  • C. Explosive occipital headache
  • D. Tachycardia
Correct Answer: A

Rationale: The correct answer is A: Tricyclic antidepressants (TCAs). TCAs block the reuptake of serotonin and norepinephrine at the presynaptic membrane, increasing their availability in the synaptic cleft. This mechanism helps alleviate symptoms of depression. Tachycardia and explosive occipital headache are not types of antidepressants but potential side effects of some medications, including TCAs. Tachycardia is a rapid heart rate, and explosive occipital headache refers to a sudden severe headache at the back of the head. Therefore, choices B, C, and D are incorrect as they are not antidepressants or related to the mechanism of action described in the question.

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The child's ability to classify objects develops during

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

Rationale: Classification, grouping objects by properties, emerges in the concrete operational stage (Piaget).

From which of the following ethnic backgrounds are patients most likely to change their diet after being diagnosed with a health problem by their physician?

  • A. Asian
  • B. Latino/Hispanic
  • C. African American
  • D. Caucasian
Correct Answer: B

Rationale: Latino/Hispanic patients often show higher dietary adaptability post-diagnosis due to family involvement and cultural emphasis on health.

A member of a group verbally lashes out at the nurse leading the discussion on assuming responsibility for behaviors. When the individual states, 'I was abused as a child by my father; you can't make me take responsibility for all the problems he created for me,' the nurse replies:

  • A. Can we talk about when your father started abusing you?'
  • B. This is a safe place to express your anger about the abuse and about your father.'
  • C. May I suggest we end the session today so you don't direct your anger toward me?'
  • D. I sense that you have unresolved issues with your father but we need to work on your anger.'
Correct Answer: B

Rationale: The correct answer is B because it acknowledges the individual's feelings of anger and provides a safe space for expression. By validating their emotions and offering support, the nurse can help the individual process their past trauma. Choice A focuses solely on the abuse timeline and may not address the immediate emotional need. Choice C avoids the issue and may not help the individual address their feelings constructively. Choice D acknowledges the unresolved issues but doesn't actively support the individual in expressing their emotions. In summary, choice B is the most appropriate as it validates the individual's feelings and offers a safe environment for emotional expression.

The Montessori approach believes the learning environment should be

  • A. Structured
  • B. Flexible
  • C. Controlled
  • D. Rigid
Correct Answer: B

Rationale: Montessori environments are flexible, adapting to children's needs.

To minimize the risk of injury during an electroconvulsive therapy (ECT) treatment, the nurse:

  • A. Times the seizure so it will not last more than 60 seconds.
  • B. Monitors the client's electroencephalogram (EEG) for changes in wave patterns.
  • C. Inserts a bite-block into the client's mouth prior to the delivery of the electrical stimulus.
  • D. Applies a cuff to the client's ankle to facilitate monitoring of blood pressure during the seizure.
Correct Answer: C

Rationale: Correct Answer: C

Rationale: Inserting a bite-block into the client's mouth prior to the delivery of the electrical stimulus helps prevent the client from biting down on their tongue or injuring their teeth during the seizure. This is crucial for minimizing the risk of injury during ECT treatment.

Incorrect Choices:
A: Timing the seizure to not last more than 60 seconds is not directly related to minimizing the risk of injury during ECT treatment.
B: Monitoring the client's EEG for changes in wave patterns is important for assessing the effectiveness of the treatment but does not directly minimize the risk of injury.
D: Applying a cuff to the client's ankle for blood pressure monitoring is important for general monitoring but does not directly address the risk of injury during the seizure.

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