During the assessment, the family nurse therapist inquires about weaknesses regarding learning the client may have
The client becomes defensive and states, "You sure are nosy!" Smiling, the nurse states, "I don't mean to seem nosy, but I must ask these questions to develop a plan that will work for you." The nurse's therapeutic response is an attempt to ascertain: Standard Text: Select all that apply. 1. How the client interacts with family members.
2. Anecdotes from family and friends.
3. The psychiatrist's progress notes.
4. Specific factors that have interfered with the success of a goal.
4
Rationale: Evaluating the client weaknesses with regard to learning and making changes will help the nurse discover what other situations requiring behavioral change the client has mastered, and what specific personal or social strengths the client employed in implementing the change. It is helpful to know what the client attempted to change without success, and the specific factors that interfered with the success, of that goal. The questions may result in knowledge of the client's interaction with family members. The questions to the client would not elicit anecdotes from family or friends, or the psychiatrist's progress notes.
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A nurse uses Watson's theory as a framework for nursing practice. Which nursing action best demonstrates the use of this theory?
A. Actively clarifies the patient's health beliefs and practices B. Allows children to visit an ill parent despite visitation restrictions C. Assesses both the physical and spiritual dimensions of the patient D. Ensures the patient is neither too warm nor too hot for comfort
Assuming that they have not responded to drug therapy, which of the following clients is likely to be the best candidate for surgical cardiac ablation?
A) A 62-year-old woman with peripheral vascular disease who has experienced multiple episodes of torsade des pointes B) A 75-year-old man with diabetes but no previous heart disease that suddenly develops syncope due to sick sinus syndrome C) A 46-year-old man with unstable angina and a history of myocardial infarction who is found to have long QT syndrome and episodes of frequent ventricular arrhythmias D) A 22-year-old woman with an atrial septal defect who has recurrent paroxysmal atrial flutter with rapid ventricular rate associated with her caffeine intake.
The nurse cares for a client with chronic pyelonephritis. What is the nurse's understanding of the most frequent cause of this condition?
A) Vesicoureteral reflux B) Papillary necrosis C) Nephrolithiasis D) Tubulointerstitial injury
An older adult patient is distressed because of not accomplishing planned life goals. Based on Erikson's developmental stages, which conflict should the nurse suspect this patient is experiencing?
1. Integrity vs. despair 2. Generativity vs. stagnation 3. Identity vs. identity confusion 4. Autonomy vs. shame and doubt