The nurse is identifying a sketch of which of the following when he or she creates a family's ecomap?
a. The region where the family resides
b. The most influential health determinants on the family's health
c. The family's contact with those outside the family
d. The family structure and relevant information about family members
C
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A The ecomap does not provide geographic details.
B Health determinants are not identified in the ecomap.
C An ecomap is a sketch of the family's contact with those outside the family. The family members who share the household are depicted in the centre of the ecomap, and various important extended family members or larger systems are sketched in to show their relationship to the family.
D The genogram provides a sketch of the family structure.
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The nurse is attempting to obtain a sexual history on a patient who is being evaluated for a possible hysterectomy. The nurse should do which of the following?
a. Assume that the patient will not appreciate questions about sexual practices. b. Avoid information relative to medication effect on sexuality. c. Use specific gender terms to emphasize sexuality. d. Recognize that many patients welcome the chance to talk about their sexuality.
To assess hepatojugular reflux in a patient with heart failure, the nurse should:
A) Elevate the patient's head to 90 degrees. B) Press the right upper abdomen. C) Press the left upper abdomen. D) Lay the patient flat in bed.
How should the nurse respond to the pregnant client who says that "since I am eating for two, I need to eat nearly twice as many carbohydrates"?
1. "That is correct; just make sure it is mostly complex carbohydrates.". 2. "That is correct for later in the pregnancy.". 3. "Carbohydrate needs increase, but not by that amount.". 4. "Space your carbohydrate intake throughout the day to avoid spikes in blood glucose.".
A patient develops sinus bradycardia at a rate of 32 beats/minute, has a blood pressure (BP) of 80/42 mm Hg, and is complaining of feeling faint. Which actions should the nurse take next?
a. Recheck the heart rhythm and BP in 5 minutes. b. Have the patient perform the Valsalva maneuver. c. Give the scheduled dose of diltiazem (Cardizem). d. Apply the transcutaneous pacemaker (TCP) pads.