The nurse is assigned to care for a child in a spica cast for a fractured femur suffered in an automobile accident. The child's father was driving the car, which was badly damaged
In assessing the family, the nurse learns that the father just recently lost his job and the mother has been working through a "temp" agency. Which nursing diagnosis is most appropriate for this family?
A) Disabled Family Coping related to the effects of multiple simultaneous stressors
B) Interrupted Family Processes related to child with a significant disability requiring alteration in family functioning
C) Caregiver Role Strain related to a child with a disability and the associated financial burden
D) Impaired Social Interaction (parent and child) related to the lack of family or respite support
Answer: A
Disabled Family Coping related to the effects of multiple simultaneous stressors best fits the multiple crises to which this family is responding. Lack of family or respite support was not mentioned in the scenario. The spica cast might result in an alteration in family functioning; however, fractures generally are not considered a significant long-term disability. The need for a spica cast is not considered a newly acquired disability.
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The physician ordered colloidal oatmeal baths followed by application of an occlusive ointment for a client with pruritus. The nurse's teaching plan would include explaining the need to
a. apply the ointment to damp skin. b. bathe several times a day. c. soak for at least 30 minutes. d. use hot water in the bath.
MC After several home visits, the nurse and the client have agreed to improve the client's overall nutritional status. In order to achieve this outcome, the nurse should
A. Assess the client's food preferences and methods of food preparation. B. Plan menus for the client to prepare. C. Accompany the client when food shopping. D. Refer the client to a Meals-on-Wheels program.
Nurses use documentation as
A) Legal representative to care B) Conveyance of information C) Organization of care D) Response to interventions