A female patient is an adolescent who recently tried to overdose because her boyfriend broke up with her. Her father is a single parent, and he has been drinking excessively to cope with his stress
The patient tells the nurse that whenever she needs to talk to her father, he is always drunk or away drinking with his drinking buddies. Based on this information, which nursing diagnosis would be most appropriate for this patient's family?
A) Ineffective Family Therapeutic Regimen Management
B) Compromised Family Coping
C) Ineffective Denial
D) Caregiver Role Strain
B
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The nurse caring for a patient with an arrhythmia who develops a sudden drop in blood pressure, chest pain, and decreased mentation identifies which of the following conditions related to the arrhythmia:
A) Hepatomegaly B) Right-sided heart failure C) Decreased cardiac output D) Left-sided heart failure
A woman who is 2 weeks postpartum calls the clinic and says, "My left breast hurts.". After further assessment on the phone, the nurse suspects the woman has mastitis. In addition to pain, the nurse would assess for which of the following?
A) An inverted nipple on the affected breast B) No breast milk in the affected breast C) An ecchymotic area on the affected breast D) Hardening of an area in the affected breast
Which subjective clinical manifestation alerts the nurse to the possible presence of a cataract?
A. Loss of central vision B. Loss of peripheral vision C. Dull aching in the eye and brow areas D. Blurred vision and reduced color perception
The nurse is conducting a mental status exam on a patient with suspected dementia. In which way should the nurse assess the patient's fund of general information?
1. Asking the patient what year it is 2. Asking the patient the name of the president 3. Asking the patient to interpret a commonly known proverb 4. Asking the patient to spell the word "world" both forward and backward