A nurse organizes care for a family by focusing on the common tasks of family life and consid-ering a longitudinal view of the family life cycle. Which of the following theories is being ap-plied?
a. Family systems
b. Bioecological systems
c. Family developmental and life cycle
d. Capacity building model
ANS: C
The family developmental and life cycle theory focuses on common tasks of family life and pro-vides a longitudinal view of the family life cycle. The family systems theory views the family as a whole with boundaries that are affected by the environment. The bioecological systems theory describes how environments and systems outside of the family influence the development of a child over time. In the capacity building model, nurses assume that the family has the most knowledge about how their health issues affect the family, supports family decision making, empowers the family to act, and facilitates action for and with the family.
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A nurse on a medical-surgical unit has asked to represent the unit on the hospital's quality committee. When describing quality improvement programs to nursing colleagues and members of other health disciplines, what characteristic should the nurse cite?
A) These programs establish consequences for health care professionals' actions. B) These programs focus on the processes used to provide care. C) These programs identify specific incidents related to quality. D) These programs seek to justify health care costs and systems.
A 78-year-old man has been diagnosed by his geriatrician as being in the third stage of Alzheimer's disease. Which of the following manifestations would be most congruent with the staging of the man's disease?
A) The man displays an uncharacteristically flat affect and denies that he is experiencing any cognitive deficits. B) The man's wife and children have recently noticed a change in his memory and judgment and he gets easily flustered in social situations. C) The man is commonly oriented to person but disoriented to time and place. D) The man no longer remembers his wife's name and requires assistance with most of his activities of daily living.
An important nursing intervention for the nurse to provide when caring for a client with Addison's disease is:
1. insulin continuously by intravenous drip. 2. regular feedings throughout the day. 3. a vigorous exercise regimen. 4. stimulating recreational activities.
Which response by the nurse is most appropriate to the statement, "This test isn't my idea, but my husband insists?"
a. "It's your decision." b. "Don't worry. Everything will be fine." c. "Why don't you want to have this test?" d. "You're concerned about having this test?"