A family assessment should include which areas? Select all that apply
a. Coping patterns
b. Health beliefs
c. Medical history
d. Physical examination
A, B
Conducting a family assessment includes identifying data; family composition; family history and developmental stage; environmental data; family structure; family function; health beliefs, values, and behaviors; family stressors and coping; and abuse and violence within the family. The medical history and physical examination of individuals are only relevant to the family assessment if it affects an individual family members.
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A client, aged 82 years, has Alzheimer's disease. She lives with her daughter's family and goes to a
day care facility on weekdays. The nurse at the day care center noticed the client was unkempt and had multiple bruises. When the daughter arrived to pick her up, the nurse discussed her observations. The daughter became defensive and said that her mother was very difficult to manage. She stated "My mother is not my mother anymore. She is confused and she wanders all night. When I have to be out in the evening on business, one of my teenagers has to watch her. Then I have to watch her all night. Last night I fell asleep and she fell down the stairs. Sometimes I just cannot bear to care for her.". The nursing diagnosis that can be established for the client is a. risk for injury related to poor judgment associated with cognitive impairment and lack of family caregiver supervision. b. noncompliance related to confusion and disorientation, as evidenced by lack of cooperation. c. anxiety related to confused state, as evidenced by the client wandering at night. d. impaired verbal communication related to brain impairment, as evidenced by the client's confusion.
A caregiver asks the nurse for suggestions to assist a cognitively impaired client to feed himself. The nurse should include which of the following instructions?
A) Place the food types in the same arrangement on the plate and relate the location to the face of a clock to assist the client in locating the food on the plate. B) Offer the client a variety of favorite foods. C) Provide diversional stimuli, such as a television show, so the client can eat without thinking about it. D) Serve each food separately with the proper utensil and cue the client to use the utensil to eat that particular food.
The following content may be included in the concept map
a. risk factors b. brief pathophysiology of each health condition c. significant other demographic data d. reason for hospitalization
A pregnant woman at 30 weeks' gestation tells the nurse that she dropped a pan last week and her baby jumped at the noise. Which of the following responses by the nurse is most accurate?
a. "Let me know if it happens again, since we need to report that to your health care provider." b. "Babies respond to sound starting at about the twenty-fourth week of gestation." c. "The fetus is demonstrating the aural reflex." d. "That movement was just a coincidence; unborn babies can't respond to sound like that."