A 56-year-old woman provides care to her 91-year-old widowed father. She says she is frequently fatigued and that she no longer socializes with her friends. "I'm so busy taking care of my dad. It's really hard work because he is bedridden
Sometimes it breaks my heart when I have to feed and bathe him. He always seemed so strong when I was a child." The most appropriate nursing diagnosis for this woman is
a. Caregiver Role Strain
b. Impaired Home Maintenance
c. Interrupted Family Processes
d. Risk for Caregiver Role Strain
A
This caregiver is experiencing fatigue, isolation, and difficulty adjusting to role changes. These are signs of Caregiver Role Strain. Because symptoms exist, this is an actual problem as opposed to a potential problem. There is no evidence of Impaired Home Maintenance. Although family processes have been altered, this is not the best nursing diagnosis based on the defining characteristics given.
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An adolescent has vaginally given birth to a healthy baby. What action by the nurse would be most important in developing a plan to help this mother bond successfully?
A. Ask the mother about her expectations of the baby and their relationship. B. Determine if the mother plans to keep the baby or give it up for adoption. C. Inquire as to how many family members are available to help care for the baby. D. Refer the mother and her baby to the social worker or to the visiting nurses.
When assessing a laboring client, the nurse locates the fetal heart tones on the right side of the abdomen above the umbilicus. Leopold's maneuvers reveal an irregularly shaped fetal part just above the symphysis pubis
The fetal presentation is most likely a. cephalic c. breech b. face d. occiput transverse
Orem views nursing as a
A. Helpful activity. B. Human health service. C. Helping service. D. All of the above.
The client is receiving methadone (Dolophine), a Schedule II drug
The client says to the nurse, "A pharmacist told me his pharmacy must register with the Drug Enforcement Administration (DEA) to give me this drug; will DEA agents be snooping around my house?" What is the best response by the nurse? 1. "It is probably unlikely that Drug Enforcement Administration (DEA) agents will be bothering you." 2. "No, the Drug Enforcement Administration (DEA) restricts drugs that have a high potential for abuse." 3. "No. I think our system should be more like Europe; they have fewer controlled drugs." 4. "That's an interesting question. Are you worried about the Drug Enforcement Administration (DEA)?"