A couple has been married for 5 months, and each has just started a new job. Prior to their marriage, they each lived with their respective parents. Now they live with the wife's parents
They have just learned that the wife is pregnant with their first child and seek counseling at a local pregnancy help center. The psychiatric nurse consultant at the center will MOST likely provide intervention at which level of the trifocal model? a. wellness
b. prevention
c. problem intervention
d. case management
B
When counseling a couple expecting their first baby while still living at home with their parents, the nurse would most likely provide services that would be considered prevention on the trifocal model. Prevention efforts would focus on such issues as risk for interrupted family process, risk for imbalanced family nutrition, and risk for dysfunctional family processes.
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A client has been found unresponsive at home for an undetermined period of time. A cerebrovascular accident (CVA) is suspected, and the family is demanding a clot buster be used to restore functioning
The nurse knows that successful use of TPA in a client with CVA requires which of the following? Select all that apply. A) The symptoms are no longer evolving. B) Presence of an ischemic stroke C) Used concurrently with heparin therapy D) Administer intramuscular for faster response. E) Administer within 3 hours of onset of symptoms. F) Administer for hemorrhagic strokes.
What alternative therapies have been found helpful for some patients with somatoform disorders? (Mark all that apply.)
A) Pharmacotherapy B) Massage therapy C) Herbal medicine D) Meditation E) Group therapy
The healthcare provider suggests that a 65-year-old female patient take 1200 mg of calcium supplements every day. Before the patient leaves the clinic, what suggestions should the nurse make when instructing the patient about this supplement?
Select all that apply. 1. Take 600 mg of calcium with lunch. 2. Take 600 mg of calcium with breakfast. 3. Take 400 mg of calcium with breakfast, lunch, and dinner. 4. Take 600 mg of calcium with breakfast and 600 mg at bedtime. 5. Take the full dose of 1200 mg of calcium in the morning on an empty stomach.
A head circumference is being measured at a 4 month old's well-baby checkup. It is noted that the head circumference has not grown since the previous assessment. The nurse should:
1. Ask the mother about the child's nutrition. 2. Notify the doctor. 3. Re-measure the head circumference, check developmental milestones, assess the nutritional status, and discuss the findings with the doctor. 4. Document the normal findings.