Family Centered Care Nursing Model

Family Centered Care Nursing Model Related

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You are preparing to administer a PRN medication for pain. After your assessment of the client for pain you open the narcotics cabinet with the special key. Your calculations indicate that the client will be getting $0.8 \mathrm{mLs}$ of the medication and the unit dose vial is $1 \mathrm{~mL}$. You discard the excess of $0.2 \mathrm{mLs}$ into the sink drain and enter the client's room. After you identify the client using two unique identifiers, the client refuses the medication. You then discard the $0.8 \mathrm{mLs}$ into the sink and document the client's refusal on the narcotics count record. What have you failed to do during this process?

  • A. You have failed to have another nurse witness the $0.8 \mathrm{mLs}$ and the $0.2 \mathrm{mLs}$ of waste.
  • B. You have failed to have another nurse witness the $0.8 \mathrm{mLs}$ of waste.
  • C. You have failed to have another nurse witness the $0.2 \mathrm{mLs}$ of waste.
  • D. You have failed ask another nurse to verify the calculation of the dosage.
Correct Answer: A

Rationale: Narcotic waste (A) requires a witness for both amounts.

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Anna, age 72, has been grieving the death of her dog, Lucky, for 3 years. She is not able to take care of her activities of daily living and wants only to make daily visits to Lucky's grave. Her daughter has likely put off seeking help for Anna because

  • A. Women are less likely than men to seek help for emotional problems.
  • B. Relatives often try to 'normalize' the behavior rather than label it mental illness.
  • C. She knows that all older people are expected to be a little depressed.
  • D. She is afraid that the neighbors 'will think her mother is crazy.'
Correct Answer: B

Rationale: Anna's daughter likely perceives her mother's behavior as a normal part of grieving, especially given Anna's age and the loss of a long-time pet, rather than recognizing it as a mental illness, which aligns with option b.

What percentage of body weight lost represents the threshold in modifying risk factors for metabolic syndrome?

  • A. 20-25%
  • B. 15-20%
  • C. 10-15%
  • D. 5-10%
Correct Answer: D

Rationale: 5-10% weight loss significantly improves metabolic syndrome risks.

Patients who are very deferential toward physicians may respond in which of the following ways when prescribed medication?

  • A. Inquire about the medical cost
  • B. Avoid asking about side effects
  • C. Document their medication intake
  • D. Ask how the medicine works
Correct Answer: B

Rationale: Deferential patients may hesitate to question side effects, risking misunderstandings.

The child's ability to understand logical reasoning develops during

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

Rationale: Logical reasoning about concrete events develops in the concrete operational stage (Piaget).

The Montessori approach believes children learn through

  • A. Observation
  • B. Instruction
  • C. Repetition
  • D. Testing
Correct Answer: A

Rationale: Montessori emphasizes learning via observation and exploration.

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