Which is not one of Kuhn's elements in the Social System Model

Correct Answer: C

Rationale: In the context of the Family Centered Care Nursing Model, understanding Kuhn's elements in the Social System Model is crucial for nurses to effectively engage with families. The correct answer, option C) Reflector - helping clients see the options clearly, is not one of Kuhn's elements. Kuhn's elements include Detector (gathering information), Selector (screening information), and Effector (constructing a plan of action). The Reflector role, though important in facilitating client decision-making, is not explicitly part of Kuhn's model. Educationally, this question reinforces the importance of understanding different models within nursing practice. By knowing these elements, nurses can better assess, plan, and implement care strategies within the Family Centered Care framework. This knowledge enhances their ability to engage with families and provide holistic, individualized care.

Correct Answer: D

Rationale: In the context of the Family Centered Care Nursing Model, social learning therapy with families should not be dull. The correct answer, option D, is the most appropriate because therapy sessions should be engaging, interactive, and meaningful to promote effective communication and positive outcomes. Option A, fun, and option B, full of laughter, might seem appealing as they suggest a positive and light-hearted approach. However, while incorporating elements of fun and laughter can be beneficial in therapy, the primary focus should be on addressing the needs and challenges of the family in a respectful and professional manner. Option C, enjoyable, is also misleading as it implies that therapy sessions should prioritize entertainment over therapeutic interventions. While it is important for families to feel comfortable and supported during sessions, the ultimate goal is to facilitate meaningful discussions, promote understanding, and empower families to make positive changes. In an educational context, it is crucial for nursing professionals to understand the importance of creating a supportive and engaging environment during therapy sessions with families. By choosing option D as the correct answer, nurses can reinforce the significance of maintaining a balance between creating a positive atmosphere and addressing the serious nature of the family's concerns. This approach can lead to more effective interventions and better outcomes for the families involved.

Correct Answer: D

Rationale: The correct answer is D) The Health Insurance Portability and Accountability Act (HIPAA): The privacy and security of technological medical information. This law specifically addresses the protection of patients' medical information and ensures its confidentiality and security. Option A is incorrect because the Patient Self Determination Act focuses on the client's right to make decisions about their healthcare, including the right to accept or refuse treatment, not the level of care. Option B is incorrect as the Patient Self Determination Act does not pertain to healthcare insurance coverage for mental health disorders specifically. Option C is incorrect as the Mental Health Parity Act deals with ensuring equal coverage for mental health services compared to other medical services, not the privacy and security of psychiatric information. Understanding these laws is crucial for nurses practicing Family Centered Care as it ensures they uphold the rights and confidentiality of their clients, promoting trust and effective communication between healthcare providers and families. By adhering to these laws, nurses can better advocate for their clients' rights and provide holistic care within a legal and ethical framework.

Correct Answer: D

Rationale: In teaching an inservice class for nurses on ethics within the Family Centered Care Nursing Model, the correct answer is D) including some of the most commonly occurring bioethical concerns, such as genetic engineering, into the course content. This is the right choice because it is important for nurses to be familiar with prevalent bioethical issues as they relate to patient care within the family-centered care framework. By including such topics, nurses can be better prepared to navigate complex ethical dilemmas that may arise in their practice. Option A is incorrect because evaluating the effectiveness of the class by a decrease in Ethics Committee referrals is not a direct measure of learning or understanding of ethical principles. Option B is not the best choice as it focuses more on the presentation format rather than the content relevance to the subject matter. Option C is incorrect as case studies are valuable in ethical education when presented in a de-identified manner to respect client privacy. Educational context is crucial to ensure nurses are equipped with the knowledge and skills to apply ethical principles in their daily practice within the family-centered care model. Including relevant bioethical concerns in the curriculum can enhance nurses' critical thinking and decision-making abilities when faced with ethical dilemmas in patient care.

Correct Answer: B

Rationale: In the context of the Family Centered Care Nursing Model, it is essential to identify clients at the greatest risk for falls to implement appropriate preventive measures. Option B, an 87-year-old female client in a room with low glare floors, is at the greatest risk for falls. Advanced age is a significant risk factor for falls due to factors like decreased balance, muscle strength, and vision. Additionally, older adults may have comorbidities or take medications that increase fall risk. Option A, a 77-year-old female with low glare floors, is less at risk compared to option B due to the lower age. Option C, a sedated 27-year-old male, is at risk for falls due to sedation impairing coordination and balance, but the elderly are generally at higher risk. Option D, a 37-year-old male with impaired renal perfusion, is not directly linked to fall risk unless it leads to dizziness or weakness. Educationally, understanding the risk factors for falls in different client populations is crucial for nurses to provide individualized care and prevent adverse events. Implementing fall prevention strategies tailored to each client's specific risks is a cornerstone of nursing practice within the Family Centered Care model.