A nurse has identified a coping problem in a family that recently lost their house and belongings in a fire. The nurse will next assess the family's external support systems
Which of the following would be the most appropriate diagnosis for this family? 1. Readiness for Enhanced Family Processes
2. Dysfunctional Family Processes
3. Ineffective Coping
4. Compromised Family Coping
4. Compromised Family Coping
Rationale:
The family has experienced a devastating loss. The family's ability to cope has been compromised and the nurse will also assess their external support systems. The family is not in a state of readiness yet. There is no evidence that the family is dysfunctional or that their coping is ineffective.
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The nurse is caring for a patient who is orally intubated and on a mechanical ventilator. The nurse believes that the patient is experiencing excess anxiety. For this patient, what behavior best indicates anxiety?
A) Restlessness B) Verbalization C) Increased respiratory rate D) Glasgow Coma Scale score of 3
The nurse is caring for an elderly patient with dementia. Which laboratory finding indicates to the nurse that that patient is often forgetting to eat meals?
a. Serum bilirubin 0.4 mg/dL b. PLT (platelet count) 425,000/mm3 c. Serum cholesterol 175 mg/dL d. Albumin 1.4 g/dL
A client asks the nurse "What is the major difference between allopathic therapies and
complementary and alternative therapies (CAM)?" The best reply for the nurse to make is "Allopathic medicine a. is curative, and CAM is preventive.". b. is symptom specific, and CAM is holistic.". c. is preventive, and CAM treats actual health problems.". d. has been tested by research, and CAM is scientifically untested.".
The nurse plans programming at a nursing home understanding that the defining impairment that affects almost all residents in a nursing home is
a. Alzheimer's disease or other cognitive deficit. b. impairment in ability to perform activities of daily living (ADL). c. profound hearing loss or other unspecified sensory deficit. d. severe, progressive visual deficit.