A 7-year-old client tells you that "Grandpa, Mommy, Daddy, and my brother live at my house." The nurse identifies this family type as:
1. Binuclear.
2. Extended.
3. Gay or lesbian.
4. Traditional.
2
Rationale:
1. A binuclear family includes the divorced parents, who have joint custody of their biologic children, who alternate spending varying amounts of time in the home of each parent.
2. An extended family contains a parent or a couple who share the house with their children and another adult relative.
3. A gay or lesbian family is composed of two same-sex domestic partners; they might or might not have children.
4. The traditional nuclear family consists of an employed provider parent, a homemaking parent, and the biologic children of this union.
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A nurse caring for an oncology patient who develops erythema following radiation therapy should instruct the patient to:
A) Apply ice to the area. B) Keep the area cleanly shaven. C) Apply petroleum ointment to the affected area. D) Avoid using soap on the area of treatment.
The nurse assesses the patient's postoperative wound and determines that the wound is inflamed, most likely because of an infection, when noting what classic symptoms? (Select all that apply.)
A) Heat around the site of the wound B) Redness around the site of the wound C) Increase in reports of pain D) Edema at the site of the wound E) Serosanguineous drainage from the wound
As the nurse is coming on duty to take over the day shift, the night nurse tells the nurse that she has already counted the controlled drugs for the day shift. What should the nurse do in this situation?
a. Do nothing; this is standard procedure. b. Accept the keys and recount the drugs. c. Recount the drugs with another nurse. d. Count the drugs at the end of your shift.
The nurse states to the client, "It is time for your dinner." The client responds with "For your dinner, for your dinner, for your dinner…." The nurse would document this as which type of speech pattern?
A) Neologism B) Echolalia C) Verbigeration D) Loose association