A home health nurse is preparing to terminate the first home visit with teenage parents and their new baby. Which of the following actions will the nurse take before leaving?
a. Determine the family's willingness for another home visit
b. Establish the purpose of the visit
c. Review the family's learning and other accomplishments of the visit
d. Review the family record and reason for referral
ANS: C
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A patient is receiving education about his upcoming Billroth I procedure (gastroduodenostomy). This patient should be informed that he may experience which of the following adverse effects associated with this procedure?
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Statement of collaborative problems:
1. builds the care plan for all the disciplines involved. 2. allows the physician to write one set of orders for all disciplines. 3. allows each discipline to work interdependently and cooperatively to solve problems. 4. allows each discipline to work independently of the others.
The nurse is determining diagnoses appropriate for a pregnant patient newly diagnosed with herpes simplex. Which nursing diagnosis has the highest priority?
1. Risk for Injury related to the disease process 2. Deficient Knowledge related to the diagnosis 3. Anxiety related the diagnosis 4. Interrupted Family Processes related to the effects of the diagnosis on her relationship with her partner