The nurse is preparing to use integrated problem-solving during a family therapy session. Which action should the nurse complete first?
1. Increasing family members' awareness of their own affective reactions to the problematic situation
2. Evaluating repeated transactions that establish patterns of how, when, and to whom individuals relate within the family system
3. Evaluating the family system's power distribution, communication of affect, quality of structural boundaries, and assignment of roles
4. Identifying and working on unresolved conflicts from earlier relationships and personality defects that interfere with present functioning
2. Evaluating repeated transactions that establish patterns of how, when, and to whom individuals relate within the family system
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Which of the following health problems would be the priority for a nurse planning for new policy initiatives?
A. Rising C-section rates B. New influenza strain targeting young children C. Rising rates of obesity in pregnancy D. High rate of accidents in children under five
A client is brought to an emergency department after being violently raped. Which nursing action is appropriate?
A. Discourage the client from discussing the event, as this may lead to further emotional trauma. B. Remain nonjudgmental and actively listen to the client's description of the event. C. Meet the client's self-care needs by assisting with showering and perineal care. D. Provide cues, based on police information, to encourage further description of the event.
An appropriate nursing diagnosis for a bedridden hospitalized client who tells the nurse that he has not missed a Methodist church service in 50 years would be
A) Spiritual distress related to inability to attend church services evidenced by verbal states of guilt B) Spiritual need as evidenced by verbalizations and distress at missing Methodist church services C) Dysfunctional grieving related to inability to attend church services as a result of his medical condition D) Potential for enhanced spiritual well-being related to distress at missing Methodist church services
The nurse is caring for a patient who has undergone surgery for a broken leg and has a cast in place. What should the nurse do to prevent skin impairment?
a. Assess surfaces exposed to the edges of the cast for pressure areas. b. Keep the patient's blood pressure low to prevent overperfusion of tissue. c. Do not allow turning in bed because that may lead to redislocation of the leg. d. Restrict the patient's dietary intake to reduce the number of times on the bedpan.