Which of the following is the purpose of a family assessment? (Select all that apply.)
1. Determine the level of family functioning.
2. Identify family strengths and weaknesses.
3. Provide legal guidelines for consent to health care.
4. Clarify family interaction patterns.
Correct Answer: 1,2,4
Rationale: One other purpose is to describe the health status of the family and its individual members. Legal guidelines regarding health care issues such as insurance coverage and the right to consent for health care are important when working with same-sex couples.
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A nurse works with pregnant adolescents during pregnancy and for the first 2 years afterward. Which teen demonstrates the most successful resolution of the conflict between normal growth and development tasks and tasks associated with being a new mother?
A. Attends alternative school with an on-site day care B. Lives at home with parents who care for the infant C. Needs strong encouragement to keep appointments D. Plans activities around the baby one day at a time
What does the nurse recognize as the initial step in conducting an assessment of a patient?
a. A body systems review b. The nursing health history c. Biographical data d. The present illness
On the way to the biohazard disposal closet to dispose intravenous (IV) tubing and a bag used on a patient who is positive for human immunodeficiency virus, the LPN/LVN drops the IV tubing and bag on the floor, causing a spill
What is the team leader's most appropriate action? a. Quickly pick up the dropped supplies and dispose of them in the biohazard bag in the biohazard room. Ask housekeeping to place a small barricade over the spill until it can be mopped up later. b. Find the floor maintenance person to pick up and dispose of the used equipment and to mop the floor, reminding him or her to wash his or her hands with soap and wa-ter. Chart that the IV was infused and discontinued appropriately. c. Call and report to designated personnel to come and cordon off the area from staff and patients; have the spill cleaned with approved infection and chemotherapy spill control procedures. d. Chart the spill in the patient's chart, in-form the RN when convenient, and have housekeeping mop up the spill.
The nurse is caring for a client with the diagnosis of colon cancer with metastasis to the liver. Which statement made by the client indicates an understanding of the diagnosis?
A) "Once the colon tumor is removed, I will be fine." B) "I will be happy once all the cancer is cut out." C) "How could I be so unlucky to get cancer twice?" D) "My cancer has now spread to my liver."