The nurse is caring for a 13-year-old girl hospitalized for complications from type 1 diabetes
The girl has a nursing diagnosis of powerlessness related to lack of control of multiple demands associated with hospitalization, procedures, treatments, and changes in unusual routine. How can the nurse help promote control? A) Ask the child to identify her areas of concern.
B) Encourage her parents to participate in care activities.
C) Offer the girl as many choices as possible.
D) Enlist the family's assistance in creating a time schedule.
C
Response:
The nurse needs to offer the girl as many choices as possible, such as options for food and drink (as her diet allows), hygiene, activities, or clothing, to promote feelings of individuality and control. Two of the other options involve the parents in the process. A 13-year-old girl is capable of making her own choices regarding activities, schedules, and routine, but she may not be able to identify her areas of concern.
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The patient presents at the health care provider's office at the urging of her spouse. Which statements by the spouse suggest to the nurse that the patient is in stage 2 of Alzheimer disease? Select all that apply
1. "She sometimes forgets to take her medicine." 2. "All she does is lie in bed and cry." 3. "She's always been good at math, but she has trouble sometimes with things like counting the correct change." 4. "She'll ask me the same question several times in a row." 5. "Yesterday she wandered away from the house and was lost for hours."
The nurse recalls that the Healthy People 2020 objectives for vision include directives for: (Select all that apply.)
a. vision screening for children 10 years of age and younger. b. reduction of uncorrected refractive errors. c. reduction of diabetic retinopathy. d. reduction of visual impairment related to cataracts. e. increased use of protective eyewear.
When asking, "What has changed between you and your spouse since your child's head injury?" the nurse is using the focus of family as
1. The context 2. The client 3. A system 4. A component of society
What treatment approach(es) would the nurse use for a client with dysfunctional grieving? Standard Text: Select all that apply
1. Teach about maladaptive dependence on the nurse 2. Talk therapies 3. Antidepressants 4. Cognitive therapy 5. Teach anger management