A nurse makes a home visit where there are a number of people. The client says that several people are in her family who are not related. The nurse should:
1. Ask the client how they are related to him or her
2. Ask each nuclear member to identify his or her health needs
3. Tell the client that since the people are not related they are not considered family
4. Accept the client's definition of family
4
The family may range from traditional notions of the nuclear and extended family to postmodern structures.
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An older adult complains about experiencing dry eyes daily. Which of the following should the nurse assess to help determine the cause of the patient's complaint?
a. Vitamin B deficiency b. Use of humidifier at home c. History of diabetes mellitus d. Prescription antihistamine use
The nurse is teaching the parents of a 7-year-old child who has just had a cast applied for a fractured arm with the wrist and elbow immobilized. Which instructions should be included in the teaching?
a. Swelling of the fingers is to be expected for the next 48 hours. b. Immobilize the shoulder to decrease pain in the arm. c. Allow the affected limb to hang down for 1 hour each day. d. Elevate casted arm when resting and when sitting up.
A nurse obtains a focused health history for a client who is scheduled for magnetic resonance angiography. Which priority question should the nurse ask before the test?
a. "Have you had a recent blood transfusion?" b. "Do you have allergies to iodine or shellfish?" c. "Are you taking any cardiac medications?" d. "Do you currently use oral contraceptives?"
A nurse caring for a patient who is a Latter-Day Saint should recognize that this patient's drink preference is:
a. tea with all meals. b. coffee each morning. c. cola beverages. d. fruit juice.