A parent became unemployed 6 months ago. The parent has subsequently been verbally abusive toward the spouse and oldest child. The child ran away twice, and the spouse has become depressed. What is the most appropriate nursing diagnosis for this family?

a. Impaired parenting related to verbal abuse of oldest child
b. Impaired social interaction related to disruption of family bonds
c. Ineffective community coping related to fears about economic stability
d. Disabled family coping related to insecurity secondary to loss of family income


ANS: D
Disabled family coping refers to the behavior of a significant family member that disables his or her own capacity as well as another's capacity to perform tasks essential to adaptation. The distracters are inaccurate because the stressors influence more than one individual.

Nursing

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An ultrasound on a woman who is 32 weeks pregnant reveals the placenta implanted over the entire cervical os. What does the nurse understand best describes this condition?

a. Low-lying placenta b. Marginal placenta previa c. Partial placenta previa d. Total placenta previa

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For children older than 4 years, separation anxiety should last for no longer than:

a. A few days b. A few weeks c. A few months d. 1 year

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The nurse is caring for a client who had abdominal surgery three days ago. The client is able to drink fluids but is reluctant to eat anything for fear of nausea and vomiting. The nurse encourages the client to try and eat to prevent which postoperative complication?

A. Dehydration B. Pneumonia C. Urinary retention D. Delayed wound healing

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The generation of clonal diversity occurs primarily during which phase of life?

a. Fetal b. Neonatal c. Infancy d. Puberty

Nursing