A child, aged 11 years, stays home from school to care for his siblings while his mother works, because the family cannot afford a babysitter
The home is cluttered and dirty when the community mental health nurse visits to investigate the child's school absences. When the parents arrive home from work, the child's father behaves angrily. He orders his wife and son about. He finds fault with the son, asking him twice, "Why are you such a stupid kid?" The wife tells the nurse she has difficulty disciplining the children and gets frustrated easily. The nurse desires to build some trust and continue to gather assessment data. The remark or question that would interfere with the nurse's goals is: a. "Tell me what happens when the children misbehave.".
b. "When your baby cries, how do you get him to stop?"
c. "Caring for three young children must be difficult.".
d. "Do you or your husband ever beat the children?"
D
An interview with possible abusing individuals should be built on concern and carried out in a nonthreatening, nonjudgmental way. Asking if the parents beat the children would suggest that they are capable of physical abuse and would interfere with trust development. Empathetic remarks are helpful in creating rapport. Neutral questions requiring a descriptive response are less threatening and elicit more relevant information than questions that can be answered by yes or no.
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A) observe the CNA as the task is performed. B) have the CNA explain what he knows about the task. C) teach a class for CNAs before the task is delegated. D) see a copy of the certification.
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A client is receiving lithium carbonate (Eskalith) for the treatment of mania. The nurse would reinforce which teaching component regarding lithium treatment?
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