Jamie, who has ALS, is going home today after a bout with pneumonia. His parents are fearful that it might be too soon to take over his care without the backup of the nurses and doctors they have relied on at the hospital the past week
a. What are some psychological issues you can address with the family and Jamie before they go home to make them feel more comfortable?
Students' answers should include the following:
a. Listen to the issues they seem to have.
• Address financial, social, Jamie's self-care, family's concerns, list of support groups for social support, healthcare needs, and equipment.
• Go over coping mechanisms and emotional support.
• Establish goals for the client and family.
• Encourage them to seek outside assistance from community and friends.
• Remind them of including physical and occupational therapy into the household to help.
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Which of the following are true about Alcoholics Anonymous? (Select all that apply)
A. A physician referral is needed. B. Family and friends are encouraged to attend the regular meetings with the alcoholic. C. No last names are used at the meetings. D. The group for family members is Al-Anon. E. Offshoots such as Narcotics Anonymous follow a different philosophy. F. The individual is encouraged to admit he or she is powerless over alcohol.
To inspect the abdominal muscles, ask the:
a. supine patient to raise their head. b. standing patient to bend forward. c. prone patient to raise their lower legs. d. standing patient to stand on tiptoes.
In addition to getting the alcoholic adult into treatment, what is the most useful intervention the nurse can implement with the family?
a. Clarifying that the family members must begin to meet their own needs b. Helping the family adapt to daily life without the family member c. Encouraging the family to limit contact with the family member while in treatment d. Sharing information about support groups such as Al-Anon or Alateen
Several hours later, K.Z. returns from his catheterization
The catheterization report shows 90% occlusion of the proximal left anterior descending (LAD) coronary artery, 90% occlusion of the distal LAD, 70% to 80% occlusion of the distal right coronary artery (RCA), an old apical infarct, and an ejection fraction (EF) of 37%. About an hour after the procedure is finished, you perform a brief physical assessment and note a grade III/VI systolic ejection murmur at the cardiac apex, crackles bilaterally in the lung bases, and trace pitting edema of his feet and ankles. Except for the soft systolic murmur, these findings were not present before the catheterization. What is your evaluation of the catheterization results? Explain the significance of having an EF of 37%. What problem do the changes in assessment findings suggest to you? What led you to your conclusion? List five actions you should take as a result of your evaluation of the assessment, and state your rationales.