A series of steps by which the nurse and the patient set priorities and goals.
What will be an ideal response?
Planning
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Mary believes that her husband John is having an affair because he has become increasingly distant, disinterested in romance, and works late. John is in charge of an important project at work that is running behind and causing stress
Mary asks her daughter if she has noticed anything different about her father, and when the daughter mentions it to her father, the father tells her to tell her mother that he cannot deal with her insecurities right now. Which nursing diagnosis should the nurse therapist make her initial priority? a. Defensive coping b. Impaired parenting c. Interrupted family processes d. Dysfunctional family processes
A nurse is caring for a dying client following myocardial infarction. The client is experiencing apnea with a falling blood pressure of 60 per palpation. Which documentation of pulse quality does the nurse anticipate?
A) Bounding pulse B) Weak pulse C) Thready pulse D) A pulse deficit
A psychiatric–mental health nurse is working on developing cultural competence. Which of the following would be most appropriate for the nurse to do?
A) Research information about the cultures of the population being served after assessing the client. B) Recognize that one's own culture is the predominant way of addressing a client's health care needs. C) Assume that any individual of a racial or ethnic group is the same as another individual in that group. D) Demonstrate an appreciation of, and a genuine interest in, the individual and his or her cultural beliefs.
Which nursing action is appropriate when preparing the family of a school-age child with a chronic illness to provide care in the home setting?
1. Teaching the family about appropriate sensory stimuli, such as a mobile 2. Educating the family to allow the child choices, such as which food to eat first 3. Preparing the family for the transition of care into adulthood 4. Encouraging interaction between the child and others with the same diagnosis