A nurse is designing a home care plan for a child with a congenital disease and is assessing the family values regarding home care. What is the best resource for the nurse to use?
a. Current literature on congenital deformi-ties
b. General knowledge of the culture
c. Patient's family
d. Written survey
C
Determining the family's values, beliefs, customs, and behaviors that influence health needs and health care practice is important. The best source is the family itself.
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A nurse has conducted a community screening event for oral cancer. What client is the highest priority for referral to a dentist?
a. Client who has poor oral hygiene practices b. Client who smokes and drinks daily c. Client who tans for an upcoming vacation d. Client who occasionally uses illicit drugs
A patient has received a diagnosis of irritant contact dermatitis. What action should the nurse prioritize in the patient's subsequent care?
A) Teaching the patient to safely and effectively administer immunosuppressants B) Helping the patient identify and avoid the offending agent C) Teaching the patient how to maintain meticulous skin hygiene D) Helping the patient perform wound care in the home environment
Which is the most important factor to apply when measuring client vital signs?
1. Documentation requires timely and accurate recording. 2. Normal limits are very narrow and are the same for all clients. 3. Measuring equipment suits client's condition and characteristics. 4. Environmental factors play a minor role on the client vital signs.
A client with a history of chronic back pain is questioning the need to "keep asking for pain medication," fearing that he will be viewed as being weak by his family. The most therapeutic nursing response to this client would be:
1. "Chronic back pain is very difficult to deal with; utilize the pain medication be-cause that's what it's there for." 2. "Your family won't think you're weak; they want you to be comfortable, and the medication will help." 3. "Taking the medication as prescribed will help you to be more active; your family will be happy you can do things with them again." 4. "It's important that you manage your pain as effectively as possible; it really doesn't matter what other people think about you."