The nursing student taking care of a client in the mental health clinic learns through assessment that the client's wife insisted he admit himself into the clinic even though his wife is the one with a documented history of mental illness

The client states, "I just want her to be happy." The nursing student suspects that the client's relationship with his wife may be: 1. Enmeshed.
2. Disengaged.
3. Hostile.
4. Skewed.


4
Rationale: Families in which one mate is severely dysfunctional are called skewed families. The other mate, who is usually aware of the dysfunction of the partner, assumes a passive, peace-making, submissive stance to preserve the relationship. The couple's relationship does not appear enmeshed, disengaged, or hostile.

Nursing

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Which of the following abbreviations are on the list of the Joint Commission "do not use" abbreviations? Select all that apply

A) U (unit) B) QD (daily) C) NPO (nothing per os) D) mL (milliliters) E) > (greater than) F) mcg (micrograms)

Nursing

An adolescent is returning home after an acute psychiatric hospitalization for a suicide attempt. Which strategy will be least effective in preparing the client for discharge?

A. Encouraging the sharing of feelings B. Suggesting that the client's mother quit her job C. Identifying the family's strengths and weaknesses D. Offering and providing the family options and resources

Nursing

The nurse determines that a female client understood the preventative teaching for colorectal cancer when the client verbalizes what statement?

A) "If I experience blood in my stools, I should take a guaiac test." B) "I should avoid low-fat food and eat fewer vegetables." C) "I should refrain from taking estrogen replacement therapy." D) "I should get at least 30 minutes of exercise daily."

Nursing

What procedure should the nurse follow when applying hot therapy to a patient with muscle spasm in response to an acute injury?

a. Apply the source for 20- to 30-minute periods. b. Allow the patient to adjust the temperature for comfort. c. Encourage the patient to move the application. d. Position the patient so that he or she cannot move away from the temperature source.

Nursing