The nurse is providing family therapy for the family of an adolescent diagnosed with schizophrenia. When planning care for this client, which is the focus for the nursing interventions?
Select all that apply.
A) Establishing boundaries
B) Coping mechanisms
C) Providing happiness
D) Preventing future episodes
E) Improving communication
Answer: A, B, E
In family therapy, the family system is treated as a unit and the focus is on family dynamics. The goal is to help families cope, improve their communication and interpersonal skills, establish boundaries, and moderate family cohesion and flexibility. The nurse may not be able to prevent future psychological episodes. Emotional support is warranted, but happiness is subjective.
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The successful integration of informatics into healthcare settings is key to:
a. Quality decision making related to man-agement of resources and patient care. b. Accessing current information about business practices. c. Meeting the modern-day expectations of staff regarding technology use. d. Speeding up calculations and decisions in budget development.
The nursing student asks, "What is the difference between qualitative and quantitative clinical questions?" What is the nurse's best response?
a. "Qualitative questions utilize a strict sta-tistical analysis of information." b. "Quantitative questions identify relation-ships between measurable concepts." c. "Qualitative questions ask about associa-tions among defined phenomena." d. "Quantitative questions analyze the con-tent of what a person says or does."
Nurses who have a community orientation have often been considered unique because of their target of practice. However, historically:
1. Nurses have always practiced in health care facilities. 2. Nursing was restricted by geographic boundaries. 3. Schools, prisons, industries, and neighborhood centers were the settings for the practice of nurses. 4. The environment for nurses was the home rather than the hospital at the turn of the century.
The nurse is watching the cardiac monitor, and a patient's rhythm suddenly changes. There are no P waves. Instead there are fine, wavy lines between the QRS complexes. The QRS complexes measure 0.08 sec (narrow), but they occur irregularly with a rate of 120 beats/min. The nurse correctly interprets that this rhythm is which of the following?
A. Sinus tachycardia B. Atrial fibrillation C. Ventricular fibrillation D. Ventricular tachycardia