Mary believes that her husband John is having an affair because he has become increasingly distant, disinterested in romance, and works late. John is in charge of an important project at work that is running behind and causing stress
Mary asks her daughter if she has noticed anything different about her father, and when the daughter mentions it to her father, the father tells her to tell her mother that he cannot deal with her insecurities right now. Which nursing diagnosis should the nurse therapist make her initial priority? a. Defensive coping
b. Impaired parenting
c. Interrupted family processes
d. Dysfunctional family processes
D
The parents are under significant stress, and their behavior is stressing the daughter as well. The response of the parents is dysfunctional, and they are making the daughter part of this dysfunction through the process of triangulation. Defensive coping (deflecting or denying blame) is also present to a degree but is not the primary problem. There is no evidence of impaired parenting or interrupted family processes.
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The client is in Buck's traction for a fractured femur. Which does the nurse implement to prevent muscle spasms of the affected leg?
1. Applies traction gradually, gently, and completely 2. Assesses the affected leg with the "five Ps" criterion 3. Eliminates potential pressure points from the traction 4. Ensures unobstructed countertraction to client's pelvis
The nurse is admitting a patient to the hospital following a motor vehicle collision in which alcohol may have been a contributing factor. What tool might the nurse use to assess whether alcohol is a problem in this patient's life?
A) MMPI B) ABCT C) CAGE D) HOPE
In talking with parents about the life expectancy of children who have the sickle cell trait, the nurse will share with the parents whose children with the sickle cell trait:
a. often live only into their 20s or early 30s b. usually die at about age 45 c. most often do not live past age 55 d. do not have a decreased life expectancy
A patient with advanced Parkinson's disease may have
A. Lhermitte's sign. B. nystagmus. C. dementia. D. vertigo.