The nurse is performing a family assessment. Which factor will the nurse include in the family and community interface portion of the assessment?
1. Family norms
2. Legal problems
3. Marital patterns
4. Family strengths
Answer: 2
Explanation: The community interface portion of the family assessment includes the assessment of legal problems within the family. While family norms, marital patterns, and family strengths are all aspects of the family assessment, they are not a part of the community interface portion of the assessment.
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The nurse caring for a client with a closed head injury gathers the following data: pupils dilated and nonresponsive bilaterally, no response to vigorous stimuli, absence of corneal reflex, absence of respiratory initiation when carbon dioxide
levels elevate, and decrease in blood pressure. The nurse anticipates a diagnosis of: 1. Increased intracranial pressure. 2. Brain death. 3. Cerebrovascular accident. 4. Intracranial hemorrhage.
The nurse knows that elderly patients are at higher risk for complications and adverse outcomes during the intraoperative period. What is the best rationale for this phenomenon?
A) The elderly patient has more boney prominences than a younger person. B) The elderly patient has reduced ability to adjust rapidly to emotional and physical stress. C) The elderly patient has impaired thermoregulatory mechanisms, which increase susceptibility to hyperthermia. D) The elderly patient has an impaired ability to decrease his or her metabolic rate.
The nurse is working on a busy pediatric oncology unit and has just lost her first patient. Which of the following activities would help the nurse cope with feelings of grief?
1. Keeping a scrap book of pictures of clients after they have died 2. Taking a week off from work in order to grieve 3. Attending the wake or funeral of the child 4. Leaving the unit to go home immediately after the child has died
The client is being treated with furosemide and a steroid drug as well. As a result of the interaction of the drugs, the nurse should expect to see an increased loss of:
a. potassium. b. calcium. c. magnesium. d. sodium.