A patient comes from a close-knit extended family. If the patient's family functions as context, the nurse needs to evaluate:
A. attainment of patient needs.
B. family attainment of developmental tasks.
C. individual family members' caring about one another.
D. family satisfaction with its new level of functioning.
A
Family is viewed as context, patient, and system. When family is viewed as context, the focus is on the health and development of an individual. When family is viewed as patient, the family processes and relationships are the primary focus. When family is viewed as a system, remember that the patient and family are not necessarily mutually exclusive.
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While assessing a new patient on the unit, the nurse notes the following: productive cough, respiratory rate of 22, oxygen saturation of 90%, and increased secretions. The patient has a 20-year history of smoking 1.5 packs of cigarettes daily
What chronic condition might this patient have? A) Pneumonia B) Cystic fibrosis C) Pleural effusion D) Chronic obstructive pulmonary disease (COPD)
While caring for a client with increased intracranial pressure (IICP), a family member asks to assist. Which interventions are appropriate for the nurse to teach the family member regarding this client's care?
Select all that apply. A) The head of the bed should be elevated to 30 degrees. B) The client should remain in a supine position. C) The family should use slow, gentle movements when repositioning the client. D) The client should be repositioned as needed. E) Patients with ICP should remain in a stationary position.
The nurse has completed a plan of care for a patient who has been hospitalized for the treatment of acute leukemia. When planning this patient's care, the nurse has specified that assessments be performed more often than is the unit norm
Frequent, thorough assessments are indicated in the treatment of patients with acute leukemia because: A) Changes in condition must be identified early because treatment options do not normally exist. B) Patients with leukemia are often unable to accurately describe their symptoms. C) Leukemia has characteristics of chronic diseases as well as acute illnesses. D) Patients with leukemia often experience clinical changes that may be subtle and nonspecific.
The parents of a terminally ill child do not want the child dying in the hospital. What can the nurse suggest to help these parent's needs?
A) Admit to a long-term care facility. B) Have hospice provided through home care. C) Discharge the child to home right before death. D) Have family stay with the child around-the-clock in the hospital.