During a family therapy session Mrs. S says to her daughter "I would like to know why you took the piece of pie that was left after dinner last night. You knew I wanted it." Later Mr. S told his daughter "I know exactly why you did that." The nurse therapist should consider the possibility that the family has
A. clear boundaries.
B. diffuse boundaries.
C. disengaged boundaries.
D. no boundary problems.
Ans: B. diffuse boundaries.
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After teaching a client who is prescribed alendronate for osteoporosis, the nurse determines that more teaching is needed when the client states which of the following about taking the drug?
1. First thing in the morning 2. With plain water 3. 30 minutes before any other medications, food, or beverages 4. Lying on her right side for 30 minutes after swallowing the medication
A 17-year-old lifeguard presents to the health center with blistering of the skin on his back. What nursing interventions should you provide for him?
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A 75-year-old man has been diagnosed with hypertension. The nurse knows that he would benefit from changing his diet to reduce his sodium intake. How can the nurse best determine his readiness to change?
A. Asking the patient what stage of change best describes him B. Asking his wife what she normally does to get him to change behavior C. Explaining the effects of hypertension to him and watching his reaction D. Providing him with low sodium food choices
The nurse is planning care for an older adult client with a head injury sustained from a motor vehicle crash. Which information should the nurse keep in mind when planning this client's care? Select all that apply
A) Anxiety, illness, and pain can alter the ability to learn. B) Reflexes are less intense in an older client. C) Impulse transmission and reactions to stimuli are slower. D) The plantar and Achilles reflexes are hyperactive in this age group. E) Impairment in vision and hearing should be taken into consideration.