An appropriate outcome for family therapy for a family of three in which the father became verbally
abusive to his wife and physically abusive to his oldest son, resulting in the son threatening to run
away and the wife developing increased
anxiety, is the
a. dysfunctional behavior of individual family members will be lessened within 3
months.
b. family will begin to consider parental divorce within 6 weeks.
c. sensitivity to other members' emotional needs will decrease.
d. family system will be fully integrated into societal system within 1 year.
A
Assessment has shown that family members are behaving dysfunctionally. Option B may not be
necessary. Option C is undesirable. Option D refers to a concern that has not been identified.
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The nurse is caring for a patient 1 hour postoperative pacemaker implantation. Upon assessing the patient's ECG, spikes appear within the QRS complex and ST segment. This is described as:
A) Failure to sense B) Failure to capture C) Pacemaker failure D) Demand pacing
Contact precautions always require the use of:
a. Gloves b. Masks c. Gowns d. Goggles
The experience of being physically restrained can be traumatic. Which nursing intervention would best help the client deal with this experience?
A. Administering a tranquilizing medication before applying the restraints B. Talking to the client at brief but regular intervals while the client is restrained C. Decreasing stimuli by leaving the client alone most of the time D. Checking on the client infrequently, in order to meet documentation requirements
During the post-operative care of a 76-year old patient, the nurse monitors the patient's intake and output carefully, knowing that the patient is at risk for fluid and electrolyte imbalances primarily because
A. Older adults have an impaired thirst mechanism and need reminding to drink fluids. B. Water accounts for a greater percentage of body weight in the older adult than in younger adults. C. Older adults are more likely than younger adults to lose extracellular fluid during surgical procedures. D. Small losses of fluid are more significant because body fluids account for only about 50% of body weight in older adults.