The nurse identifies the diagnosis of Interrupted Family Processes for a child who sustained a brain injury during an automobile accident
Which nursing intervention would support this diagnosis?
A) Teach the family the importance of using seat belts.
B) Encourage the family to express feelings.
C) Refer the family to support services in the community.
D) Explain rules for visiting in the Intensive Care Unit.
Answer: B
While families may need education about seat belts and sources of support, it is not the optimal time to implement such teaching at this point in the crisis. It is optimal to find out the family's perception of what is going on and what they feel their needs are. The best way to determine this is to encourage them to express their feelings. Timelines for visitation are appropriate but are not the priority.
You might also like to view...
The nurse is triaging a client and notes pallor and cyanosis of the oral cavity and lips. Which action by the nurse is the priority based on the assessment data?
1. Administer IV fluids. 2. Provide oral hygiene. 3. Administer oxygen. 4. Provide a warm drink.
The nurse is assisting a victim of spousal abuse to create a plan for escape if it becomes necessary. What components should the plan include? Select all that apply
a. A code word to signal children that it is time to leave b. Phone numbers for the nearest shelter and crisis hotline c. Telling the spouse that she has a plan and will leave d. Collecting birth certificates and other essential documents e. Bringing a cell phone or change to make phone calls f. Obtaining a weapon to use as needed for self-defense
A client presents with painless, bright-red bleeding. It is suspected that the woman has placenta previa. The nurse hypothesizes that which of the following should be done? (Select all that apply.)
a. Perform a sterile vaginal examination. b. Administer oxygen via nasal canula. c. Institute continuous fetal monitoring. d. Notify the primary care provider immediately. e. Anticipate ultrasonography to rule out pla-centa previa. f. Contact the woman's nearest relative if she is alone.
Muscles usually become
Select the phrase that will correctly identify significant changes one can expect to occur in the normal aging process. a. stronger b. weaker c. tighter d.looser