Which of the following statements reflect an understanding of family-focused nursing actions? A nurse who is implementing family-focused nursing actions:
1. Partners with a family
2. Assesses family core processes
3. Identifies both the strengths and the concerns of a family
4. All of the above
ANS: 4
Rationale:
Partnerships, assessment, and family strengths and concerns are important to family-focused nursing actions.
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Another term for accepting responsibility is ________________
ANS:
A patient with quadriplegia resulting from a spinal cord injury says to the rehabilitation nurse, "I'm sick of this therapy! What is an occupational therapist going to do for me? Can she give me an 'occupation'?"
What response by the nurse would be the most helpful? a. "No, but the occupational therapist can show you how to enjoy some recreational activities." b. "Yes, in a way. The occupational therapist provides training that strengthens muscles you can still control." c. "Maybe. The occupational therapist recommends adaptive equipment that will make you more independent." d. "No, the voc-rehab counselor helps with employment. The occupational therapist helps train you for improved communication skills."
The client says to the nurse, "I feel really close to you. You are the only true friend I have." The most therapeutic response the nurse can make is:
A) "I am sure there are other people in your life who are your friends; besides, we just met." B) "It makes me feel good that you trust me so much; it is important for the work we are doing together." C) "Since ours is a professional relationship, let's explore other opportunities in your life for friendship." D) "We are not friends. This is strictly professional."
A client's bladder is found to be distended. At which location would the nurse begin palpating?
A) At the umbilicus B) At the symphysis pubis C) In the right lower quadrant D) In the left lower quadrant