Parents of a teenager recently diagnosed with serious mental illness express dismay. One parent says, "Our child acts so strangely that we don't invite friends to our home. We quit taking vacations. Sometimes we don't get any sleep."
Which nursing diagnosis best applies?
a. Impaired parenting
b. Dysfunctional grieving
c. Impaired social interaction
d. Interrupted family processes
ANS: D
Interrupted family processes are evident in the face of disruptions in family functioning as a result of having a mentally ill member. Assessment data best support this diagnosis. Data are insufficient to support the other diagnoses.
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The nurse manager of a busy Emergency Department is concerned about burnout in the nursing staff. The manager has overheard nurses complaining about their job, absenteeism has increased, and the nurses look tired and anxious
What action, planned by the nurse manager, would best serve to alleviate this burnout? A) Assign each nurse to spend 30 minutes with the hospital psychologist daily. B) Ask the physician staff to take over some of the tasks they routinely ask the nurses to do. C) Make certain that the nurses are well prepared for their responsibilities. D) Ask Administration to require 30 minutes of exercise at the end of each shift.
Which definition best describes Kussmaul breathing, seen in diabetic ketoacidosis or lactic acidosis?
1) Progressively increasing, rapid, deep respiration that peaks and then gradually decreases 2) Rapid and deep respirations 3) Irregular rate and depth that alternates with periods of apnea 4) Regular breathing pattern followed by brief periods of apnea
When obtaining a health history and physical assessment for a 36-year-old female patient with possible multiple sclerosis (MS), the nurse should
a. assess for the presence of chest pain. b. inquire about urinary tract problems. c. inspect the skin for rashes or discoloration. d. ask the patient about any increase in libido.
In assessing the structure of the community in order to identify the needs of its population, the nurse will focus on:
1. Collecting demographic data on age distribution 2. Visiting neighborhood schools to review health records 3. Interviewing clients to determine the cultural composition of the subgroups 4. Observing locations where services, such as water sanitation, are provided