A 15-year-old is hospitalized after a suicide attempt. This adolescent lives with the mother, stepfather, and several siblings. When performing a family assessment, the nurse must first determine:
a. how the family expresses and manages emotion.
b. names and relationships of the family's members.
c. the communication patterns between the patient and parents.
d. the meaning that the patient's suicide attempt has for family members.
ANS: B
The identity of the members of the family is the most fundamental information and should be obtained first. Without this, the nurse cannot fully process the other responses.
You might also like to view...
A nurse is teaching a patient how to take Imitrex in the home setting in order to maximize therapeutic benefit while reducing the risk of adverse effects. The nurse should teach the patient to take Imitrex
A) before breakfast each day. B) on days when migraines may be anticipated. C) as soon as the earliest symptoms of migraine are sensed. D) when the pain of a migraine becomes too much to bear.
Which data should be included in a health history?
a. Review of systems b. Physical assessment c. Growth measurements d. Record of vital signs
When monitoring the vital signs of a patient who has sustained a major burn injury, the nurse assesses a heart rate of 112. What should the nurse determine about this finding?
1. This heart rate is normal for the patient's post-burn injury condition. 2. The patient is demonstrating manifestations consistent with the onset of an infection. 3. The patient is demonstrating manifestations consistent with an electrolyte imbalance. 4. The patient is demonstrating manifestations consistent with renal failure.
Asking the woman to close the introitus during a pelvic examination is a test for:
a. endometriosis. b. rectocele. c. cervical polyps. d. sphincter tone.