The pregnant patient at 14 weeks' gestation is in the clinic for a regular prenatal visit. Her mother also is present
The grandmother-to-be states that she is quite uncertain about how she can be a good grandmother to this baby, because she works full-time. Her own grandmother was retired, and was always available when needed by a grandchild. The best response to this concern would be: 1. "Don't worry. You'll be a wonderful grandmother. It will all work out fine.".
2. "What are your thoughts on what your role as grandmother will include?"
3. "As long as there is another grandmother available, you don't have to worry.".
4. "Grandmothers are supposed to be available. You should retire from your job.".
2
Rationale 1: It is important to avoid cliches in order to promote effective therapeutic communication.
Rationale 2: As society has changed to encourage a more active lifestyle in the aging population, the role of grandparents has also changed. Grandparenting can take many forms. Some grandparents are young and employed full-time, while others are retired, and have more free time. Encouraging open communication between grandparents-to-be and the parents-to-be can avoid miscommunication of expectations. Grandparenting classes are one way that these roles can be explored.
Rationale 3: It is important to avoid placing guilt on patients in order to promote effective therapeutic communication.
Rationale 4: It is important to avoid placing guilt on patients in order to promote effective therapeutic communication.
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A client, aged 16 years, comes to the crisis clinic. The nurse learns she is being molested by her
uncle. The client told her mother of the uncle's behavior, but the mother accused the daughter of lying. The client's crisis would be classified as a. maturational. b. situational. c. adventitious. d. organic.
What should the nurse suspect when hourly assessment of urine output on a patient postcraniotomy exhibits a urine output from a catheter of 1,500 mL for two consecutive hours?
A) Cushing syndrome B) Syndrome of inappropriate antidiuretic hormone (SIADH) C) Adrenal crisis D) Diabetes insipidus
The nurse is measuring a patient's QRS complex on an electrocardiogram tracing and determines the patient has a bundle branch block. Which of the following would the patient's length of the QRS complex be?
1. 0.12 seconds 2. 0.10 seconds 3. 0.18 seconds 4. 0.08 seconds
A modified biophysical profile (mBPP) is considered normal if
A. NST is reactive and mother reports at least 10 fetal movements in 2 hours B. NST is reactive and the amniotic fluid index (AFI) is greater than 5 cm C. There are no decelerations following contractions