Family Nursing Health care

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| By Draconisnightman
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Draconisnightman
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Quizzes Created: 18 | Total Attempts: 13,284
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Family Nursing Health care - Quiz

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Questions and Answers
  • 1. 

    An art, science, philosophy and a way of interacting with families about health care

    • A.

      Family flexibility continuum: Frequent role/leadership changes with flexible rules that are readily adjusted

    • B.

      Family flexibility continuum: Erratic/limited leadership with impulsive decisions with unclear shifting of roles

    • C.

      Family health care is?

    • D.

      What is family health?

    Correct Answer
    C. Family health care is?
  • 2. 

    Which of the following statements is true about family nursing practice?

    • A.

      Family care is concerned with the experience of the family over time

    • B.

      Family nursing is directed at families whose members are both healthy and ill

    • C.

      The family nurse is responsible with the family itself for defining who is the family

    • D.

      If family nursing practice is successful, the family members will simultaneously achieve maximum health

    • E.

      All of the above

    Correct Answer
    E. All of the above
    Explanation
    Family nursing practice encompasses a holistic approach that considers the experience of the family over time, whether its members are healthy or ill. The family nurse plays a crucial role in defining who constitutes the family, working in collaboration with the family itself. Successful family nursing practice aims to promote the maximum health and well-being of all family members. Therefore, all the statements provided in the options are true about family nursing practice.

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  • 3. 

    Which of the following nursing specialties has historically focused on the quality of family health?

    • A.

      Maternity nursing

    • B.

      Pediatric nursing

    • C.

      Public health nursing

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    All of the above nursing specialties have historically focused on the quality of family health. Maternity nursing specifically deals with the care of women during pregnancy, childbirth, and postpartum period, ensuring the well-being of both mother and baby. Pediatric nursing focuses on the health and well-being of infants, children, and adolescents, which includes addressing the needs of their families. Public health nursing aims to improve the overall health of communities, including families, by promoting preventive measures, health education, and disease prevention. Therefore, all three specialties have a historical emphasis on family health.

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  • 4. 

    Assessment can be defined as:

    • A.

      A continuously evolving process of data collection to assist nurses in using information from the past and present to predict the future.

    • B.

      The process of assigning numbers or symbols to variables to assist nurses in measuring particular characteristics of family members

    • C.

      An instrument family nurses use to give a quantifiable result when examining a particular attribute

    • D.

      A tool nurses use to obtain important family information in less than 15 minutes

    Correct Answer
    A. A continuously evolving process of data collection to assist nurses in using information from the past and present to predict the future.
    Explanation
    Assessment is a continuously evolving process of data collection that helps nurses utilize information from the past and present to make predictions about the future. It involves gathering information about a patient's health history, current symptoms, and other relevant factors to form a comprehensive understanding of their condition. This information is then used to develop a plan of care and make informed decisions about the patient's treatment and prognosis. Assessment is an ongoing process that allows nurses to continuously monitor and evaluate the patient's progress and adjust the care plan accordingly.

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  • 5. 

    One strength of using a genogram during a family assessment is that

    • A.

      Nurses can assess relationships between family members and the community

    • B.

      Nurses can assess the tension among family members

    • C.

      Nurses can assess the communication patterns among family members

    • D.

      Nurses can assess multigenerational patterns and health conditions

    Correct Answer
    D. Nurses can assess multigenerational patterns and health conditions
    Explanation
    A genogram is a visual representation of a family's multigenerational patterns, including relationships, health conditions, and other relevant information. By using a genogram during a family assessment, nurses can gather valuable information about the family's health history, identify patterns of illness or disease that may be present across generations, and assess the overall health status of the family. This information can help nurses develop appropriate interventions and provide targeted care to promote the health and well-being of the family members.

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  • 6. 

    Typically, a genogram includes

    • A.

      One generation

    • B.

      Two generations

    • C.

      Three generations

    • D.

      Four generations

    Correct Answer
    C. Three generations
    Explanation
    A genogram typically includes three generations because it is a diagram that represents the family history and relationships of three generations, including the individual, their parents, and their grandparents. This allows for a comprehensive understanding of family dynamics, patterns, and genetic traits across multiple generations. Including more than three generations would make the genogram more complex and difficult to interpret, while including fewer than three generations would not provide enough information for a comprehensive analysis.

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  • 7. 

    Nurses use an ecomap to assess

    • A.

      Relationships between family members and the community

    • B.

      The tension among family members

    • C.

      Multigenerational patterns and health conditions

    • D.

      A and b only

    Correct Answer
    D. A and b only
    Explanation
    An ecomap is a visual representation that helps nurses assess the relationships between family members and the community. It provides a clear picture of the support systems, resources, and connections that a family has within their community. By using an ecomap, nurses can identify any tension or conflicts among family members, as well as understand the dynamics and interactions within the family unit. Therefore, the correct answer is "a and b only" as it encompasses the assessment of relationships between family members and the tension among them.

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  • 8. 

    The genogram provides

    • A.

      A quick snapshot of the family members from an intergenerational perspective

    • B.

      Information on the health status of family members in the immediate and extended family

    • C.

      Hints to possible support systems for family members

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    The genogram is a visual representation of a family tree that provides a quick snapshot of family members from an intergenerational perspective. It also includes information on the health status of family members in the immediate and extended family, which can be helpful in identifying potential genetic or hereditary health conditions. Additionally, the genogram can provide hints to possible support systems for family members, such as identifying close relationships or connections within the family network. Therefore, the correct answer is "all of the above."

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  • 9. 

    The client story represents:

    • A.

      The intervention phase of the family nursing care plan using the outcome present state testing model

    • B.

      The assessment phase

    • C.

      The process family nurses complete as they establish intervention plans

    • D.

      The clustering of data into meaningful groups, identifying pertinent relationships between variables

    Correct Answer
    B. The assessment phase
    Explanation
    The client story represents the assessment phase of the family nursing care plan. This phase involves gathering information about the client's health status, family dynamics, and other relevant factors. It is during this phase that family nurses collect data and identify pertinent relationships between variables. The client story provides important details that help the nurse establish an intervention plan based on the client's needs.

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  • 10. 

    The Family Reasoning Web assists nurses in:

    • A.

      Obtaining comprehensive data regarding family structure, development, and function

    • B.

      Organizing data into categories and identifying relationships that fit with family diagnoses

    • C.

      Visually diagramming family members across three generations

    • D.

      Visually diagramming relationships within and external to the immediate family

    Correct Answer
    B. Organizing data into categories and identifying relationships that fit with family diagnoses
    Explanation
    The Family Reasoning Web helps nurses in organizing data into categories and identifying relationships that fit with family diagnoses. This means that the tool helps nurses to categorize and organize the data they have collected about a family's structure, development, and function. It also assists in identifying the relationships within and outside the immediate family that are relevant to the family diagnoses. By using this tool, nurses can analyze the data more effectively and make accurate diagnoses based on the relationships and patterns they identify.

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  • 11. 

    Termination with a family is an important step to family nursing care. This stage includes

    • A.

      Referral to other agencies or health care providers, or both

    • B.

      Summarizing progress toward expected outcomes

    • C.

      Summarizing barriers to reaching goals

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    Termination with a family in family nursing care involves several important steps. Referring the family to other agencies or healthcare providers is one of these steps, as it ensures that the family continues to receive appropriate care and support beyond the scope of the current nursing intervention. Summarizing the progress made towards expected outcomes is another crucial step, as it allows the family and healthcare providers to assess the effectiveness of the nursing care provided. Finally, summarizing the barriers that hindered the achievement of goals is important for identifying potential areas for improvement in future interventions. Therefore, all of the above options are correct in relation to the termination stage of family nursing care.

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  • 12. 

    The Family Assessment and Intervention Model is based on

    • A.

      Orem's Self-Care Theory.

    • B.

      Rogers' Theory of Unitary Human Beings

    • C.

      Neuman Systems Model of health care

    • D.

      Bronfenbrenner'sBioecological Systems Theory

    Correct Answer
    C. Neuman Systems Model of health care
    Explanation
    The correct answer is Neuman Systems Model of health care. The Family Assessment and Intervention Model is based on this model, which focuses on the holistic approach to health care. The Neuman Systems Model emphasizes the interrelationships between the individual, family, and community, and how these factors can influence health and well-being. It also emphasizes the importance of prevention and intervention to maintain stability and promote optimal health outcomes.

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  • 13. 

    The family assessment and intervention model is based on all of the following areas except

    • A.

      Health promotion

    • B.

      Family reaction and instability at lines of defense and resistance

    • C.

      Family change strategies

    • D.

      Restoration of family stability and family functioning

    Correct Answer
    C. Family change strategies
    Explanation
    The family assessment and intervention model is based on health promotion, family reaction and instability at lines of defense and resistance, and restoration of family stability and family functioning. However, it does not include family change strategies as one of its core areas. Family change strategies may refer to specific techniques or methods used to facilitate change within a family system, but they are not explicitly mentioned as a part of this particular model.

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  • 14. 

    Social policy is guided by

    • A.

      Historical events

    • B.

      Current beliefs and values.

    • C.

      Related laws

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    Social policy is guided by historical events, current beliefs and values, and related laws. Historical events shape the way societies understand and respond to social issues, while current beliefs and values influence the priorities and goals of social policy. Additionally, laws provide a framework for implementing and enforcing social policies. Therefore, all of these factors play a role in guiding social policy decisions.

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  • 15. 

    Lesbian, gay, bisexual, or transgender (LGBT) identified people face which of the following because of systemic and policy-related stigma and barriers

    • A.

      LGBT adolescents experience much higher rates of homelessness, prostitution, and substance use

    • B.

      They are far more likely to delay accessing health care

    • C.

      They are less likely to receive preventative screens, such as mammograms

    • D.

      All of the above

    • E.

      None of the above

    Correct Answer
    D. All of the above
    Explanation
    LGBT identified people face multiple challenges due to systemic and policy-related stigma and barriers. LGBT adolescents are more likely to experience homelessness, engage in prostitution, and have substance use issues. They also tend to delay accessing healthcare and are less likely to receive preventative screenings like mammograms. Therefore, the correct answer is "all of the above." These difficulties highlight the need for greater support and inclusivity for the LGBT community.

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  • 16. 

    The definition of family

    • A.

      Is consistent across communities

    • B.

      Is defined by our government to include all current family structures

    • C.

      Can include only biological family members

    • D.

      Varies from community to community and from state to state

    Correct Answer
    D. Varies from community to community and from state to state
    Explanation
    The correct answer is that the definition of family varies from community to community and from state to state. This means that different communities and states may have different definitions and understandings of what constitutes a family. This could be based on cultural, social, or legal factors that shape the understanding of family structures in different regions.

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  • 17. 

    A homeless woman is more likely than other women to have all of the following characteristics except:

    • A.

      To have less than a high school education

    • B.

      To have grown up in foster care

    • C.

      To be employed

    • D.

      To have had an abortion by age 16

    Correct Answer
    C. To be employed
    Explanation
    A homeless woman is more likely to have all of the listed characteristics except being employed. This means that while it is more common for a homeless woman to have less than a high school education, to have grown up in foster care, and to have had an abortion by age 16, it is less likely for her to be employed. This suggests that unemployment is not a common characteristic among homeless women.

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  • 18. 

    Children eligible to receive funding for health care through the State Children’s Health Insurance Program (CHIPS) include

    • A.

      Infants with a chronic disability

    • B.

      Children receiving special education

    • C.

      Children without health insurance and ineligible for Medicaid

    • D.

      All of the above

    Correct Answer
    C. Children without health insurance and ineligible for Medicaid
    Explanation
    Children eligible to receive funding for health care through the State Children's Health Insurance Program (CHIPS) include infants with a chronic disability, children receiving special education, and children without health insurance and ineligible for Medicaid. This means that all of the options mentioned in the question are correct and eligible for funding through CHIPS.

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  • 19. 

    - Individual factors (Ex. Values, personality, coping, etc.) - Family processes factors (Ex. resilience, boundaries, cohesiveness, etc.) - Member/Family processes (Ex. communication, coordination, caregiving, etc.)

    • A.

      Self-management

    • B.

      Functional domain

    • C.

      Structural domain

    • D.

      Stressors when raising a child w/ chronic illness

    Correct Answer
    B. Functional domain
    Explanation
    The given answer "Functional domain" refers to the area of self-management that involves the individual and family factors mentioned in the question. It includes aspects such as values, personality, coping strategies, resilience, boundaries, cohesiveness, communication, coordination, and caregiving. This domain focuses on how individuals and families navigate and adapt to the challenges and demands of raising a child with a chronic illness. It encompasses the psychological, emotional, and behavioral aspects of managing the stressors associated with the child's condition.

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  • 20. 

    Considers multiple traits, interactive processes, and life experiences that influence health/illness of interacting/developing persons

    • A.

      Reeducation

    • B.

      Core Family Processes

    • C.

      The 3 areas that nurses provide support for to families dealing with chronic illness are...

    • D.

      The Family Health Model

    Correct Answer
    D. The Family Health Model
    Explanation
    The Family Health Model considers multiple traits, interactive processes, and life experiences that influence the health and illness of interacting and developing persons. This model recognizes that health and illness are not solely determined by individual factors, but are also influenced by the dynamics and interactions within the family unit. It emphasizes the importance of understanding the family as a whole and providing support and interventions that address the unique needs and challenges faced by families dealing with chronic illness.

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  • 21. 

    Emotional connections during routine gatherings need to be redefined

    • A.

      Illness-care routines

    • B.

      Redefinition

    • C.

      Adolescent transition

    • D.

      Remediation

    Correct Answer
    B. Redefinition
    Explanation
    The given statement suggests that emotional connections during routine gatherings need to be redefined. This implies that the current emotional connections established during these gatherings are not satisfactory or fulfilling. By redefining these connections, it is possible to improve and enhance the emotional experience during routine gatherings, potentially leading to greater satisfaction and fulfillment. This could involve changing the way people interact, communicate, and express their emotions during these gatherings. Overall, redefining emotional connections can help create more meaningful and fulfilling experiences during routine gatherings.

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  • 22. 

    Environmental and behavioural risk factors that could be effectively addressed through prevention programs.

    • A.

      Remediation

    • B.

      Chronic illness is often linked to...

    • C.

      Mental health routines

    • D.

      Safety and prevention routines

    Correct Answer
    B. Chronic illness is often linked to...
    Explanation
    Chronic illness is often linked to environmental and behavioral risk factors that can be effectively addressed through prevention programs. These risk factors can include exposure to pollutants, unhealthy lifestyle choices, and lack of access to healthcare. By implementing prevention programs that focus on addressing these factors, individuals can reduce their risk of developing chronic illnesses and improve their overall health outcomes. This approach emphasizes the importance of proactive measures to promote wellness and prevent the onset of chronic diseases.

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  • 23. 

    Involve habits linked with usual ADL's such as hygiene

    • A.

      Redefinition

    • B.

      Self-care routines

    • C.

      Family-care routines

    • D.

      Illness-care routines

    Correct Answer
    B. Self-care routines
    Explanation
    The correct answer is self-care routines because it involves habits linked with usual activities of daily living (ADLs) such as hygiene. Self-care routines refer to the activities individuals perform to take care of themselves, including tasks like bathing, grooming, and dressing. These routines are essential for maintaining personal hygiene and overall well-being. Family-care routines and illness-care routines may involve taking care of others or managing specific health conditions, but they do not necessarily encompass the broader range of self-care activities.

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  • 24. 

    Finding supports and understanding that the child caregiver has normal development needs

    • A.

      Illness-care routines

    • B.

      How do nurses help a young child provide care for an adult in the family with a chronic illness?

    • C.

      Chronic illness is often linked to...

    • D.

      Safety and prevention routines

    Correct Answer
    B. How do nurses help a young child provide care for an adult in the family with a chronic illness?
    Explanation
    Nurses help a young child provide care for an adult in the family with a chronic illness by finding supports and understanding that the child caregiver has normal development needs. This means that nurses recognize that the child caregiver is still a child and needs support and understanding in order to effectively provide care for the adult with a chronic illness. By providing the necessary support and understanding, nurses can help the child caregiver navigate the challenges of caring for a chronically ill family member while also ensuring their own well-being and development.

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  • 25. 

    The person is CENTRAL to chronic care self-management

    • A.

      Types of care in the EMPOWERMENT MODEL

    • B.

      Contextual domain

    • C.

      Stressors when raising a child w/ chronic illness

    • D.

      HCP's helping those living with chronic illness

    Correct Answer
    A. Types of care in the EMPOWERMENT MODEL
    Explanation
    The correct answer is "Types of care in the EMPOWERMENT MODEL." The EMPOWERMENT MODEL focuses on empowering individuals to take control of their own health and well-being. In this model, different types of care are provided to support individuals in managing their chronic conditions. This includes self-management education, support groups, goal-setting, problem-solving, and decision-making. The emphasis is on the person being at the center of their own care and actively involved in making decisions about their health. This approach recognizes the importance of empowering individuals to take ownership of their health and make informed choices.

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  • 26. 

    Focuses exclusively on the immediate period around death.

    • A.

      End-of-life care

    • B.

      Involvement of the family

    • C.

      In palliative care...

    • D.

      Personal Assumptions and Biases About Death and Dying

    Correct Answer
    A. End-of-life care
    Explanation
    End-of-life care focuses exclusively on the immediate period around death. It involves providing medical, emotional, and spiritual support to individuals who are nearing the end of their life. This type of care aims to ensure that the person's physical and emotional needs are met, and that they are comfortable and as pain-free as possible during their final days. End-of-life care also involves providing support to the person's family, helping them navigate the difficult emotions and decisions that come with this stage of life.

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  • 27. 

    The focus is on the family as a UNIT

    • A.

      In palliative care...

    • B.

      End-of-life care

    • C.

      Involvement of the family

    • D.

      Bereavement care

    Correct Answer
    A. In palliative care...
    Explanation
    In palliative care, the focus is on the family as a unit because it recognizes that the family plays a crucial role in providing support and care to the patient. Palliative care aims to improve the quality of life for both the patient and their family members, addressing their physical, emotional, and spiritual needs. By involving the family in the care process, healthcare professionals can better understand the patient's preferences and values, provide tailored support, and help the family navigate the challenges of end-of-life care. Additionally, palliative care also extends to providing bereavement support to the family after the patient's death.

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  • 28. 

    Mr. Wright is seen in the office for follow-up of his coronary artery disease and diabetes mellitus. During the interview, which comment MOST SUGGESTS psychological distress? (câu nay không có đáp án trong test, ai biết thì hú t cái)

    • A.

      “My leg hurts right here.”

    • B.

      “I’m so worried about my wife.”

    • C.

      “I don’t know how I’ll get to my appointment.”

    • D.

      “Why did I get this disease?”

    Correct Answer
    B. “I’m so worried about my wife.”
    Explanation
    The comment "I'm so worried about my wife" suggests psychological distress because it indicates that Mr. Wright is experiencing anxiety or concern about his wife's well-being. This comment is unrelated to his own health conditions and suggests that he may be experiencing emotional stress or worry about a separate issue.

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  • 29. 

    Mrs. DeGilio is an 84 year old woman with rheumatoid arthritis affecting hands, feet and knees.  Today she notes increased swelling and pain in her knees.  An important question in pain assessment is:

    • A.

      Have you noticed a fever?

    • B.

      How does it affect your life?

    • C.

      Have you lost weight?

    • D.

      How are you feeling overall?

    Correct Answer
    D. How are you feeling overall?
    Explanation
    The question "How are you feeling overall?" is an important question in pain assessment because it allows the healthcare provider to get a general understanding of the patient's overall well-being. This question helps to assess if the increased swelling and pain in the knees are causing any significant impact on the patient's overall quality of life. It also provides an opportunity for the patient to express any other symptoms or concerns they may have, which can help in determining the appropriate course of treatment.

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  • 30. 

    Neuropathic pain is:

    • A.

      Usually treated with anti-inflammatory agents

    • B.

      A result of disordered nerve function

    • C.

      Due to direct stimulation of intact nociceptors

    • D.

      Rarely responsive to opioid analgesics

    Correct Answer
    B. A result of disordered nerve function
    Explanation
    Neuropathic pain is a result of disordered nerve function. This means that the pain is caused by a dysfunction or damage to the nerves themselves, rather than being a response to inflammation or direct stimulation of intact nociceptors. It is important to understand this distinction because neuropathic pain requires a different approach to treatment compared to other types of pain. While anti-inflammatory agents may be effective for some types of pain, they are not typically the first line of treatment for neuropathic pain. Additionally, neuropathic pain is often less responsive to opioid analgesics, further highlighting the need for specialized treatment approaches.

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  • 31. 

    Mr. Martin has locally advanced transitional cell cancer of the bladder with chronic pelvic and abdominal pain.  Which of the following is MOST IMPORTANT in determining the maximum dose of oral morphine during dose titration?

    • A.

      Pain relief

    • B.

      Respiratory depression

    • C.

      Risk of overstepping regulatory limits

    • D.

      Strength of pill

    Correct Answer
    A. Pain relief
    Explanation
    The most important factor in determining the maximum dose of oral morphine during dose titration is pain relief. This means that the primary concern is ensuring that the patient's pain is adequately managed and controlled. The other options, such as respiratory depression, risk of overstepping regulatory limits, and strength of the pill, may also be considerations but they are not as crucial as ensuring that the patient's pain is effectively relieved.

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  • 32. 

    All of the following are key elements of palliative care EXCEPT:

    • A.

      Pain and symptom management

    • B.

      Psychological and spiritual support

    • C.

      Getting the patient to be DNR

    • D.

      Coordination of care

    Correct Answer
    B. Psychological and spiritual support
    Explanation
    Palliative care is a specialized medical care approach that focuses on providing relief from pain and symptoms, as well as addressing the psychological and spiritual needs of patients facing serious illnesses. The goal is to improve the quality of life for both the patient and their families. However, getting the patient to be "Do Not Resuscitate" (DNR) is not a key element of palliative care. While discussions about end-of-life preferences and goals of care are important in palliative care, the decision to be DNR is a personal choice that may or may not align with the patient's wishes and values.

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  • 33. 

    The single MOST IMPORTANT feature that defines opioid drug addiction (psychological dependence) is:

    • A.

      An increasing need for the drug over time

    • B.

      Complaint of pain exceeding that expected for a given medical problem

    • C.

      Development of withdrawal when the drug is stopped

    • D.

      Evidence of adverse life consequences from drug use

    Correct Answer
    C. Development of withdrawal when the drug is stopped
    Explanation
    The single most important feature that defines opioid drug addiction is the development of withdrawal symptoms when the drug is stopped. Withdrawal symptoms occur when the body has become physically dependent on the drug and experiences discomfort and distress when the drug is no longer present. This is a hallmark characteristic of opioid addiction and indicates that the individual's body has adapted to the presence of the drug and requires it to function normally. The other options, such as an increasing need for the drug over time or evidence of adverse life consequences from drug use, may also be present in opioid addiction, but the development of withdrawal is the most defining feature.

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  • 34. 

    The diagnosis of a chronic illness may be seen as a crisis or a psychosocial transition, but both views acknowledge that such a diagnosis

    • A.

      Requires adaptation

    • B.

      Affects families more than individuals

    • C.

      Is more difficult for women than for men

    • D.

      Is more difficult for people with diabetes than Alzheimer's disease

    Correct Answer
    A. Requires adaptation
    Explanation
    The correct answer is "Requires adaptation." When someone receives a diagnosis of a chronic illness, it often requires them to make significant changes in their lifestyle, routines, and mindset in order to manage their condition effectively. This can involve adapting to new medications, treatment plans, dietary restrictions, and coping with the emotional and physical challenges that come with the illness. Therefore, the diagnosis of a chronic illness necessitates adaptation on the part of the individual.

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  • 35. 

    In contrast to people with acute illnesses, those with chronic disorders are more likley to

    • A.

      Develop a hopeless attitude toward their condition

    • B.

      Accept their physician's authority

    • C.

      Comply with medical advice

    • D.

      Be aware of their disease

    Correct Answer
    C. Comply with medical advice
    Explanation
    People with chronic disorders are more likely to comply with medical advice compared to those with acute illnesses. This is because chronic disorders require long-term management and treatment, and individuals with these conditions understand the importance of following medical advice to effectively manage their condition and prevent further complications. Compliance with medical advice may include taking prescribed medications, adhering to a specific diet or exercise regimen, attending regular check-ups, and making necessary lifestyle changes. This level of commitment is often higher in individuals with chronic disorders as they have a better understanding of the long-term implications of their condition.

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  • 36. 

    Wilford has just received a diagnosis of Type 2 diabetes and has agreed to participate in a cognitive behavioral program to help him cope with his diabetes.

    • A.

      This program will help Wilfrod develop emotion-focused coping strategies

    • B.

      This program will allow Wilford to discontinue his medication

    • C.

      This program will help Wilford and his family adapt to the changes he needs to make in his life

    • D.

      This type of program will not be as effective in helping Wilford as relaxation of hypnosis

    Correct Answer
    C. This program will help Wilford and his family adapt to the changes he needs to make in his life
    Explanation
    The given correct answer states that the cognitive behavioral program will help Wilford and his family adapt to the changes he needs to make in his life. This suggests that the program aims to provide support and guidance to Wilford and his family in adjusting to the lifestyle changes required to manage his Type 2 diabetes. The program may offer education, skills training, and psychological strategies to help Wilford and his family cope with the challenges and navigate the necessary adjustments in their daily lives.

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  • 37. 

    Families with a chronically ill child should

    • A.

      Find some positive aspect to their situation

    • B.

      Devote themselves full-time to their child

    • C.

      Reinforce the child's illness behaviors

    • D.

      Realize that the child's chronic illness will soon be cured

    Correct Answer
    A. Find some positive aspect to their situation
    Explanation
    Families with a chronically ill child should find some positive aspect to their situation. This is important because having a positive outlook can help them cope with the challenges they face. It can provide them with hope, resilience, and strength to support their child and navigate through the difficulties that come with a chronic illness. Finding positive aspects can also help the family focus on the things they can control and make the most out of their situation, rather than being overwhelmed by negativity and despair.

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  • 38. 

    The underlying causes of Alzheimer's disease are not known, but ____ seems to be involved in the development of this disease

    • A.

      Glucagon

    • B.

      Epinephrine

    • C.

      Corticosteroid

    • D.

      Apolipoprotein E

    Correct Answer
    D. Apolipoprotein E
    Explanation
    Apolipoprotein E seems to be involved in the development of Alzheimer's disease. Although the exact causes of the disease are unknown, research suggests that variations in the Apolipoprotein E gene may increase the risk of developing Alzheimer's. This protein is involved in the metabolism of fats and cholesterol in the brain, and certain forms of Apolipoprotein E have been linked to the accumulation of amyloid plaques, a hallmark of Alzheimer's disease.

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  • 39. 

    Which of the following is NOT a risk for Alzheimer's disease?

    • A.

      High educational level

    • B.

      Type 2 diabetes

    • C.

      Having a head injury

    • D.

      Experiencing prolonged bouts of inflammation during one's life

    Correct Answer
    A. High educational level
    Explanation
    Having a high educational level is not a risk factor for Alzheimer's disease. Research has shown that individuals with higher levels of education may have a reduced risk of developing Alzheimer's disease compared to those with lower levels of education. This may be due to the cognitive reserve theory, which suggests that education and intellectual stimulation can build up cognitive reserves that help protect against the cognitive decline associated with Alzheimer's disease.

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  • 40. 

    Inez, a 75-yr. an old woman has trouble sleeping, wanders from home at night, displays memory loss, becomes unexpectedly angry with her husband, and is suspicious of her children. These symptoms best describe a person with

    • A.

      Type 1 diabetes

    • B.

      Kaposi's sarcoma

    • C.

      Alzheimer's disease

    • D.

      AIDS

    Correct Answer
    C. Alzheimer's disease
    Explanation
    The symptoms described in the question, such as trouble sleeping, memory loss, behavioral changes, and suspicion, are typical signs of Alzheimer's disease. Alzheimer's is a progressive neurological disorder that primarily affects older individuals, causing cognitive decline and changes in behavior and personality. It is characterized by the formation of plaques and tangles in the brain, leading to the death of brain cells and the deterioration of cognitive function. While the other options listed in the question (Type 1 diabetes, Kaposi's sarcoma, and AIDS) can also cause various symptoms, they do not align with the specific symptoms mentioned in the scenario.

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  • 41. 

    Drugs are most often given to Alzheimer's patients 

    • A.

      To delay the progress of cognitive and psychological impairment

    • B.

      To reverse cognitive impairment

    • C.

      For their placebo effect

    • D.

      To prevent wandering

    Correct Answer
    A. To delay the progress of cognitive and psychological impairment
    Explanation
    Drugs are commonly prescribed to Alzheimer's patients in order to delay the progression of cognitive and psychological impairment. These drugs are designed to slow down the decline in cognitive function and help manage the symptoms associated with Alzheimer's disease. While they may not reverse cognitive impairment completely, they can provide some relief and improve the quality of life for patients. The use of drugs in Alzheimer's treatment is based on scientific research and clinical evidence, rather than relying on a placebo effect. Additionally, medications can also help prevent wandering, which is a common behavior in Alzheimer's patients.

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  • 42. 

    Which of these characteristics are the LEAST typical of Alzheimer's caregivers?

    • A.

      Grief

    • B.

      Male

    • C.

      Neglect of personal appearance

    • D.

      Shame and embarrassment

    Correct Answer
    B. Male
    Explanation
    The least typical characteristic of Alzheimer's caregivers is being male. While both men and women can be caregivers for individuals with Alzheimer's, research shows that the majority of caregivers are female. This is likely due to societal expectations and gender roles, as well as the fact that women tend to have higher rates of empathy and nurturing qualities. However, it is important to note that being male does not exclude someone from being an Alzheimer's caregiver, as individuals of any gender can provide care and support for their loved ones.

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  • 43. 

    Glucagon acts to ___, and insulin acts to_____.

    • A.

      Stimulate the stomach...stimulate the pancreas

    • B.

      Increase hunger...decrease hunger

    • C.

      Decrease blood sugar levels...increase blood sugar level

    • D.

      Stimulate the release of glucose...take glucose into cells

    Correct Answer
    D. Stimulate the release of glucose...take glucose into cells
    Explanation
    Glucagon acts to stimulate the release of glucose, while insulin acts to take glucose into cells. Glucagon is released by the pancreas when blood sugar levels are low, and it stimulates the liver to convert stored glycogen into glucose, which is then released into the bloodstream. Insulin, on the other hand, is released by the pancreas when blood sugar levels are high. It allows glucose to enter cells, where it can be used for energy or stored for later use. By working together, glucagon and insulin help regulate blood sugar levels in the body.

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  • 44. 

    Why are the terms "juvenile-onset" and "adult-onset" no longer used to describe types of diabetes?

    • A.

      Too few children develop diabetes to make the term "juvenile-onset" meaningful

    • B.

      Large number of overweight children began to develop Type 2 diabetes

    • C.

      A large number of underweight adults began to develop Type 2 diabetes

    • D.

      A large number of underweight adults began to develop Type 1 Diabetes

    Correct Answer
    B. Large number of overweight children began to develop Type 2 diabetes
    Explanation
    The terms "juvenile-onset" and "adult-onset" are no longer used to describe types of diabetes because a large number of overweight children began to develop Type 2 diabetes. This suggests that diabetes is no longer limited to specific age groups and can occur in both children and adults.

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  • 45. 

    Which ethnic group has the lowest risk for Type 2 diabetes?

    • A.

      Asian Americans

    • B.

      African Americans

    • C.

      Hispanic Americans

    • D.

      European Americans

    Correct Answer
    D. European Americans
    Explanation
    European Americans have the lowest risk for Type 2 diabetes compared to the other ethnic groups mentioned. This may be due to various factors such as genetic predisposition, lifestyle choices, and dietary habits. European Americans generally have lower rates of obesity and higher levels of physical activity, which are important factors in reducing the risk of developing Type 2 diabetes. Additionally, they may have a lower prevalence of certain risk factors such as insulin resistance and metabolic syndrome, which are associated with the development of diabetes.

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  • 46. 

    One of the difficulties that children and adolescents face in coping with diabetes is that

    • A.

      Most parents fail to accept their child's disorder

    • B.

      They do not have the cognitive sophistication to plan their regimens

    • C.

      They may resist adhering to the dietary restrictions and exercise requirements

    • D.

      Children fear the long-term complications of diabetes

    Correct Answer
    C. They may resist adhering to the dietary restrictions and exercise requirements
    Explanation
    Children and adolescents with diabetes may resist adhering to the dietary restrictions and exercise requirements because it can be challenging and restrictive. They may feel frustrated and restricted by the need to constantly monitor their food intake and engage in regular physical activity. Additionally, they may want to fit in with their peers and feel left out or different when they have to follow different dietary and exercise routines. This resistance can make it difficult for them to effectively manage their diabetes and maintain their health.

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  • 47. 

    The leading cause of death among adult Type 1 and Type 2 diabetics is

    • A.

      Cardiovascular disease

    • B.

      Lung cancer

    • C.

      Suicide

    • D.

      Unintentional injuries

    Correct Answer
    A. Cardiovascular disease
    Explanation
    Cardiovascular disease is the leading cause of death among adult Type 1 and Type 2 diabetics because diabetes can lead to various complications that increase the risk of cardiovascular problems. High blood sugar levels in diabetes can damage blood vessels and nerves, leading to atherosclerosis (hardening and narrowing of the arteries), which can result in heart attacks, strokes, and other cardiovascular conditions. Additionally, diabetes is often associated with other risk factors such as high blood pressure, high cholesterol levels, and obesity, further increasing the likelihood of developing cardiovascular disease. Therefore, it is crucial for diabetics to manage their blood sugar levels and adopt a healthy lifestyle to reduce the risk of cardiovascular complications.

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  • 48. 

    With regard to the perception of glucose levels, most diabetics

    • A.

      Develop effective strategies that allow them to predict their insulin needs

    • B.

      Have inaccurate beliefs about blood glucose levels

    • C.

      With Type 1 diabetes have more accurate beliefs than those with Type 2 diabetes

    • D.

      Would prefer to turn their care over to professionals rather than learn self-monitoring

    Correct Answer
    B. Have inaccurate beliefs about blood glucose levels
    Explanation
    Most diabetics have inaccurate beliefs about blood glucose levels. This means that they may not have a clear understanding of their own glucose levels and how they fluctuate throughout the day. This can be problematic as it can lead to incorrect insulin dosing or other management decisions. It is important for diabetics to have accurate beliefs about their glucose levels in order to effectively manage their condition and prevent complications.

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  • 49. 

    The _____ model hypothesizes that genetic vulnerability interacts with environmental factors to stimulate asthmatic reactions

    • A.

      Hardiness

    • B.

      Hierarchy of needs

    • C.

      Diathesis-stress

    • D.

      Allergy

    Correct Answer
    C. Diathesis-stress
    Explanation
    The diathesis-stress model suggests that individuals with a genetic vulnerability are more susceptible to developing asthmatic reactions when exposed to certain environmental factors. This model emphasizes the interaction between genetic predisposition and environmental triggers in the development of asthma. It suggests that both factors are necessary for the manifestation of asthmatic symptoms, with the genetic vulnerability acting as a diathesis or predisposition, and the environmental factors acting as stressors that trigger the asthmatic reactions.

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  • 50. 

    Triggers for an asthmatic attack are LEAST likely to include

    • A.

      Newspaper ink

    • B.

      Cigarette smoke

    • C.

      Dust mites

    • D.

      Chemical sprays

    Correct Answer
    A. Newspaper ink
    Explanation
    Asthmatic attacks are commonly triggered by allergens or irritants that can inflame the airways. Newspaper ink is not typically known to be a common trigger for asthma attacks. While cigarette smoke, dust mites, and chemical sprays are known to be common triggers, newspaper ink is not typically considered to be a significant trigger for asthmatic attacks.

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