Which type of family should the nurse recognize when the paternal grandmother, the parents, and two minor children live together?
a. Blended
b. Nuclear
c. Extended
d. Binuclear
ANS: C
An extended family contains at least one parent, one or more children, and one or more members (related or unrelated) other than a parent or sibling. A blended family contains at least one stepparent, stepsibling, or half-sibling. A nuclear family consists of two parents and their children. No other relatives or nonrelatives are present in the household. In binuclear families, parents continue the parenting role while terminating the spousal unit. For example, when joint custody is assigned by the court, each parent has equal rights and responsibilities for the minor child or children.
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A nurse who provides care in an extended-care setting works primarily with adults aged 75 and older
When planning care and implementing safety measures for this population, the nurse should be cognizant of which of the following normal, age-related changes to the musculoskeletal system? A) Decreased bone mass B) Presence of osteochondromas C) Decreased collagen in muscles D) Increased elasticity of tendons
The nurse is performing an initial interview on a 75-year-old male. Which of the following statements by this patient indicates the need to perform a special needs assessment?
a. "I don't go to church as much as I used to but I watch the services on TV." b. "I have fallen twice at home in the past 6 months, so my wife thinks I need a walker." c. "I don't eat much red meat anymore but I get my protein from other foods." d. "I had a toothache but I already saw the dentist."
When evaluating a patient's use of a
metered-dose inhaler (MDI), the nurse notes that the patient is unable to coordinate the activation of the inhaler with her breathing. What intervention is most appropriate at this time? a. Notify the doctor that the patient is unable to use the MDI. b. Obtain an order for a peak flow meter. c. Obtain an order for a spacer device. d. Ask the prescriber if the medication can be given orally.
During assessment of a client at risk for hematologic problems, the nurse palpates the client's spleen just below the ribs on the left side. What is the nurse's best action?
A. Document the finding as the only action. B. Ask about a history of mononucleosis. C. Apply an abdominal binder. D. Notify the physician.