The nurse assesses the progress from the announcement stage of fatherhood to the acceptance stage when the patient reports which actions by the father? (Select all that apply.)
a. Goes fishing every afternoon
b. Has revised his financial plan
c. Spends leisure time with his friends
d. Traded his sports car for a sedan
e. Helped select a crib
ANS: B, D, E
Active planning for an infant is an indication of the acceptance stage. Concentration on a hobby and spending time away from home are indicators of nonacceptance.
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The nurse is palpating a female patient's breasts during an examination. Which of these positions is most likely to make significant lumps more distinct during breast palpation?
a. Supine with the arms raised over her head b. Sitting with the arms relaxed at her sides c. Supine with the arms relaxed at her sides d. Sitting with the arms flexed and fingertips touching her shoulders
The nurse is preparing to administer a patient's scheduled dose of Novolin 70/30 . When administering this dose of insulin, the nurse should:
A) Ensure that the insulin is not given near a previous injection site B) Aspirate before injecting the insulin into the patient's subcutaneous tissue C) Massage the injection site gently for 10 to 15 seconds after administration D) Use a 3 mL syringe with a 24 gauge, - to -inch needle
In Nightingale's mind, the specific "scientific" activity of nursing that was the central element in health care, without which medicine and surgery would be ineffective, is which of the following
A. Preparing nutritious meals B. Maintaining an aesthetic environment C. Maintaining hygiene D. Sustaining a quiet environment
The nurse is reviewing the Nursing Outcomes Classification (NOC) taxonomy system. To what can the nurse compare this taxonomy?
1. Nursing diagnosis statement 2. Planning portion of the care plan 3. Goal statement of the traditional care plan 4. Implementation phase of the care plan