A blended family has six children, ages 2, 4, 4, 5, 7, and 10. During a visit to the home, the nurse notices that the 7-year-old seems quiet and withdrawn, whereas the other children are playing loudly in the garage. Which of the following conclusions can the nurse make from this observation?
a. This child has most likely been abused.
b. This child is one of multiple children closely spaced in age.
c. This family suffers from low self-esteem.
d. This family provides harsh punishment for their children.
Ans: b. This child is one of multiple children closely spaced in age.
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The nurse is preparing to ambulate a school-age client who had an appendectomy. In addition to pharmacological pain management, the nurse can use which nonpharmacological pain-management strategy for this client?
1. A heating pad 2. A warm, moist pack 3. A pillow on the abdomen 4. An ice pack
Which of the following actions should a nurse take to minimize the effort required in evaluating the success of interventions with a family? (Select all that apply.)
a. Choose criteria for evaluation that will demonstrate the value of the nursing interventions. b. Evaluate care on the basis of the goals that the family and nurse together agreed upon. c. Gather all possible data throughout the intervention so the data will be available for evaluation purposes. d. Plan for evaluation while beginning assessment of the family. e. Inform the family that they must contribute data for evaluation when it is requested. f. Use only short-term criteria so the data can be gathered before care is terminated.
Which of the following statements describes the way family structure contributes to the overall character of a community and influences its health needs?
A) In most of the world, a scarcity of resources necessitates extended family residence together in one home. B) In the United States and Western Europe, the extended family is the norm and many members may be involved in caring for the sick. C) In the 6% of the world where nuclear family structures prevail, reliance on extended family and neighbors affects the needs and function of the family. D) A client who has a nuclear family and no extended family has similar needs as the client with numerous extended family members.
The African American patient has panic attacks, is suicidal, and is on an inpatient psychiatric unit. The psychiatrist orders sertraline (Zoloft) and clonazepam (Klonopin). The patient refuses the drugs; he requests to have herbs and African objects in his room to "remove the curse." What is the priority action by the nurse?
1. Allow the request without seeking further information from the patient. 2. Allow the request as long as the herbs and objects do not pose a safety risk for the patient or other patients. 3. Allow the request after the patient signs a release of responsibility to avoid litigation. 4. Allow the request after all members of the treatment team agree to it.