Every nurse-client interaction is a potential teaching-learning opportunity
Indicate whether this statement is true or false.
True
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The mother of a 10-year-old boy asks the nurse to discuss the recognition of puberty. The nurse should reply by saying:
a. "Puberty usually begins around 15 years of age." b. "The first sign of puberty is an enlargement of the testes." c. "The penis size does not increase until about 16 years of age." d. "The development of pubic hair precedes testicular or penis enlargement."
A client has designated her daughter as a person to make healthcare decisions for the client if he is not able to do so. What type of advance directive is this considered?
A) Power of attorney B) Do-not-resuscitate order (DNR) C) Living will D) Durable power of attorney (DPOA) for healthcare
The family of a spinal cord–injured patient is concerned with the lack of bowel function 2 days after injury. The nurse's best response would be:
1. "Due to his injury, he will always need to have enemas for bowel evacuation." 2. "Medical management is delaying bowel action, because it places pressure on the injury." 3. "Bowel function should return about 3 days after the accident." 4. "We'll just have to wait and see if bowel action returns this week."
The nurse working in an emergency department admits a woman whose last menstrual period was 7 weeks ago with acute severe lower right-sided abdominal pain with heavy menstrual bleeding resulting in a miscarriage
Which of the following nursing diagnoses is appropriate for this mother? 1. Anxiety 2. Ineffective Coping 3. Interrupted Family Processes 4. Grieving