What is the priority nursing diagnosis for the parents of a newborn born with cleft lip and palate?
a. Parental role conflict
b. Risk for delayed growth and development
c. Risk for impaired attachment
d. Anticipatory grieving
ANS: C
Parents of a child with cleft lip and palate may have difficulty bonding with their child due to the appearance of the child. The priority nursing diagnosis is risk for impaired attachment. A goal is to promote bonding between parents and infant.
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Abused elders often choose to return to their home with the perpetrator of their abuse because of a
a. Lack of choices for living alternatives b. Victim mentality c. Lack of education regarding the seriousness of elder abuse d. Trusting nature
When a breastfeeding mother is diagnosed with a breast abscess, which of these instructions from the nurse is correct? The mother needs to:
a. Continue to nurse on both sides to encourage milk flow. b. Immediately discontinue nursing to allow for healing. c. Temporarily discontinue nursing on the affected breast, and manually express milk and discard it. d. Temporarily discontinue nursing on affected breast, but manually express milk and give it to the baby.
You are caring for a client who is exhibiting psychophysiologic behaviors. What would be an important nursing intervention for you to use?
A) Encourage confrontation concerning the psychologic defense nature of the symptoms. B) Respond to the client with understanding and patience. C) Identify fulfilled dependency needs of the client. D) Maximize time and attention given to physical symptoms.
A client is admitted with orbital cellulitis of the right eye. The most common cause of orbital cellulitis in adults is an infection caused by staphylococci and streptococci as a result of:
• Bacterial sinusitis. • Traumatic induction of bacteria. • Intraocular surgery. • Conjunctivitis.