In the structural assessment of the family, the nurse determines which one of the following?
a. How household tasks are shared among the family members
b. The stage of life at which the family finds itself presently
c. The emotional links between family dyads
d. Which factors influence the roles and behaviours within the family
D
In the structural assessment, the nurse identifies birth order, gender, and distance in age between siblings, since these may influence roles and behaviours within the family.
The sharing of household tasks can be assessed in the functional assessment, more precisely in-strumental functioning.
In the developmental assessment, the nurse will assess the phase of the family's developmental life cycle.
The emotional ties between family dyads can be assessed under subsystems (structural assess-ment) and also under alliances and coalitions (expressive functioning).
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A postpartum woman overhears the nurse tell the obstetric clinician that she has a positive Homans' sign and asks what it means. The nurse's best response is:
a. "You have pitting edema in your ankles." b. "You have deep tendon reflexes rated 2+." c. "You have calf pain when the nurse flexes your foot." d. "You have a 'fleshy' odor to your vaginal drainage."
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a. "This is a result of a high-cholesterol diet and poor exercise habits." b. "The heart has not been getting enough aerobic exercise and has developed this condition. In cardiac rehabilitation they will work with the patient to strengthen his heart through special exercises." c. "This is an inherited condition. You should give serious consideration to having family members screened for it." d. "This is a result of clot formation in the blood vessels in the heart. We will need to use medications to reduce the risk of further clotting."
An older adult is being treated for severe pain resulting from a history of osteoarthritis. In her discharge teaching, which information is most important to relay for the successful management of the pain?
a. Check for incompatibilities before taking any new medications. b. Arrange to take a dose of analgesic prior to physical activity. c. Take the analgesic around-the-clock as prescribed. d. Be alert for the signs of overdose toxicity.