The nurse educator is discussing the family systems explanation for substance abuse with the nursing students. Which of the following is included in the family systems explanation of substance abuse?
1. Addiction can be managed through pharmacologic intervention.
2. Addiction shifts the family focus.
3. Addiction is a disease.
4. Addiction is due to genetic causes.
2
Rationale: A family systems explanation for substance abuse would assess whether the addiction is serving a purpose for the family. The addiction may shift the family's focus and distract them from other issues. The explanation that addiction is a disease, is related to genetics, or can be pharmacologically managed is a biologic/genetic approach.
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A nurse is caring for a client diagnosed with sleep apnea. What should the nurse do in order to promote sleep in the client?
A) Encourage the client to lose weight. B) Avoid sedatives for sleeping. C) Encourage deep breathing exercises. D) Provide good ventilation in the room.
A client with suspected diminished renal functioning has come to the outpatient clinic for an appointment. What laboratory test would be most accurate in assessing this client's renal re-serve?
A. 24-hour urine for creatinine clearance B. Serum blood urea nitrogen level C. Urine specific gravity D. Serum sodium level
The nurse is aware of the typical occurrence of comorbidities in the older adult. Motivated by this knowledge, the nurse assesses a patient with diagnosed respiratory dysfunction for possible
a. poor wound healing of the legs and feet. b. ineffective absorption of vitamins and minerals. c. abnormal urine protein levels. d. visual problems including retinal detach-ment.
From an intrapersonal perspective, people at higher risk for eating disorders have which of the following characteristics?
A) Learned behavior regarding the effect of food B) Conscious intrapersonal and interpersonal conflict C) Over-inflated self-esteem, control issues, and sexual identity crisis D) Low self-esteem, difficulties with identity formation, and significant adolescent turmoil