The spouse of a patient with a C7 spinal cord injury provides all care for the patient in addition to caring for three children
Which outcome criteria should the nurse identify as relevant for a nursing diagnosis of Caregiver Role Strain for this patient's plan of care?
a. Caregiver maintains patient's health.
b. Caregiver accepts constructive criticism.
c. Caregiver accepts responsibility for own actions.
d. Caregiver identifies resources available to assist with care.
ANS: D
The spouse needs help, and the nurse can help identify resources to assist her. A. B. C. These outcome statements do not address the caregiver role strain diagnosis.
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The nurse is providing care for a client who experienced several fractures as a result of spousal abuse. Which intervention is the most appropriate to include when planning care for the client?
A) Assist the client to devise a safety or escape plan. B) Encourage the client to take charge of the situation. C) Offer to contact outpatient services if the client promises not to return home after discharge. D) Make it clear to the spouse that the couple needs to see a therapist.
Which assessment should be immediately addressed in a patient on lidocaine?
a. Slowed ventricular rate b. Occasional PVCs c. Increase in temperature to 102° F d. Nausea and vomiting
When you enter the examination room of a 3-year-old girl, you find her sitting on her father's lap. She turns away from you when you greet her. Initially, your best response is to:
a. leave the child sitting in the father's lap while you talk to the father. b. ask the child to be seated on the examina-tion table so that you can talk to her fa-ther. c. explain to the child that you will not hurt her and that she will have to trust you. d. ask the father to persuade the child to cooperate with you.
The five principles of ethical leadership include all of the following except
a. Respects others. b. Manifests honesty. c. Acts courageously. d. Shows justice.