The family of a client mentions to the nurse, "The family therapist talked to us about enmesh-ment. We're not sure we understood what it meant." The nurse should base a response on knowledge that an enmeshed family is a unit in which:
1. Individuality is encouraged
2. Boundaries are poorly defined
3. Conflict is effectively resolved
4. Social acceptance is deemed unimportant
ANS: 2
Enmeshed families have poor boundaries, overinvolvement among members, and a pattern of re-lating in which individuality is discouraged and conformity expected. 1. Individuality is dis-couraged in enmeshed families. 3. There is little healthy conflict resolution in enmeshed families. 4. An enmeshed family places considerable importance on appearances and public acceptance.
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Paralyzed clients with reflex incontinence can lightly massage or tap the skin above the pubic area, a method known as __________ that stimulates relaxation of the urinary sphincter
Fill in the blank(s) with correct word
A novice nurse notices a patient is pacing the floor and twisting his hands
When the nurse enters the room, the patient stares at her and mumbles, "Can't anyone understand what I want?" while smiling and reaching out to shake the nurse's hand. The nurse recognizes a risk for violence based on which clinical findings? (Select all that apply.) a. Glaring at the nurse b. Nervousness, twisting of hands c. Murmuring when talking d. Diagnosis of a terminal illness e. Isolation, desire to be alone
The three main symptoms of untreated type 1 diabetes mellitus are
a. polyphagia, polyuria, and polydipsia. b. neuropathy, nephropathy, and retinopathy. c. confusion, loss of coordination, and headaches. d. fatigue, loss of appetite, and frequent in-fections.
The nurse manager notes that there has been a significant increase in the number of clients who have been given the wrong medication on the unit during the last 4 months
The nurse manager uses nursing informatics to formulate rationale for why the problem is occurring. Which of the following questions should the nurse manager answer using nursing informatics? Select all that apply. 1. Was there a specific nurse who was involved in these incidents? 2. How many clients in the health care organization were given a wrong medication during the last month? 3. At what time of day did each of the incidents occur? 4. What is the average length of stay on the unit? 5. What was the nurse-to-client ratio during the shifts when the incidents occurred?