The nurse is to meet a family for the first family therapy session. The husband/father is an
accountant who admits to being skeptical of the idea that talking can help the family strengthen its
ability to cope with life stressors.
The wife/mother is a teacher who states she is not skillful in
conflict resolution. The son, aged 15 years, defies parents and teachers and is in academic trouble.
The daughter, aged 17 years, is trying to decide whether to attend a local college and live at home or
attend an out-of-state university. During the first meeting the nurse should plan to
a. elicit the perspective of each family member.
b. maintain the focus of all members on the here and now.
c. provide psychoeducation regarding oppositional defiant disorder.
d. state the expectation that members will promote and support family coping.
A
The perspective of each family member must be elicited and heard. Not only does the nurse gain
information with this technique, but family members may be hearing the information for the first
time and will come to better understand the position and feelings of other members. Option B: This
may not be appropriate because a certain amount of history may be relevant at the first meeting.
Option C: This may be premature. Option D: Outcomes should be negotiated by the entire family,
not imposed by the nurse.
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An unfamiliar infectious process has occurred in your institution. What is the most appropriate resource available for you to access for patient care information and teaching?
A) Centers for Disease Control and Prevention (CDC) B) American Medical Association (AMA) C) Environmental Protection Agency (EPA) D) American Nurses Association (ANA)
The nurse who is performing care for a client with a new tracheostomy needs to change the ties. What is the best method for changing these ties?
1. Remove the old ties, clean the area well, and then put on new ties. 2. Attach the new tape and tie with a square knot behind the client's neck. 3. Have an assistant hold the tracheostomy tube in place, remove the soiled ties, and replace the ties. 4. Remove the outer cannula, replace the soiled ties, and reinsert.
When using the SBAR model to communicate with a physician, what information does the nurse offer first?
a. Statement of the problem and its probable cause b. Nurse's name, patient's name, and reason for the communication c. History of information related to and leading up to the reason for the communication d. What the nurse thinks will correct the problem or what is needed from the physician
An individual who possesses an inappropriate degree of inattention, impulsiveness, and hyperactivity would be diagnosed as having which condition?
A. learning disability B. attention-deficit hyperactivity disorder (ADHD) C. mania D. dysthymia