In taking a family history, the nurse in community health finds that this is the second marriage for the previously divorced parents and that the male partner is the stepparent to the oldest child
For which of the following aspects of the family assessment is data being gathered?
a. Dynamics
b. Function
c. Structure
d. System
ANS: C
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The nurse is interviewing a client who has experienced a 15-pound weight gain during the last year. The nurse obtains a 24-hour dietary recall, as well as determining the client's exercise habits and feelings regarding plans to take off the excess weight
Which type of approach is the nurse using to enhance the client's health? 1. Psychosocial perspective. 2. Illness perspective. 3. Physiologic perspective. 4. Wellness perspective.
After having the postoperative patient deep-breathe and cough, the nurse should offer:
a. a warm drink. b. mouth care. c. oxygen by mask. d. an iced drink.
As a patient care advocate, you regularly coach patients on how to stay safe in health care by educating them about:
a. The need to understand and record all medications being taken. b. Bringing their own linens and other personal items to the hospital. c. Washing hands frequently while in a healthcare environment and using a hand sanitizer. d. Following closely the directions and orders of healthcare providers.
The nurse is providing care to a pediatric client who is receiving chemotherapy to treat acute lymphocytic leukemia (ALL)
Which nursing diagnoses should the nurse include in the plan of are based on the side effects associated with the treatment? Select all that apply. 1. Risk for Injury 2. Impaired Skin Integrity 3. Risk for Electrolyte Imbalance 4. Risk for Infection 5. Sleep Deprivation