MC The nurse is interviewing the spouse of a client who is being treated for substance abuse. The nurse suspects co-dependence exists between the client and the spouse. Characteristics of co-dependence include
A. The ability to freely express feelings.
B. Evidence of high self-esteem.
C. The ability to stand up for one's own desires.
D. Control of others.
D. Control of others.
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A pregnant woman is planning to breastfeed. The nursing intervention that will promote breastfeeding in the new mother is:
1. Facilitating breastfeeding within the first 30–60 minutes of life. 2. Giving the woman literature on breastfeeding as soon as she enters the labor room. 3. Telling the mother that the physician strongly advises new mothers to breastfeed their newborns. 4. Encouraging the mother to attend breastfeeding classes before discharge from the hospital.
The nurse works in a facility that cares for clients from a broad range of racial, ethnic, cultural, and religious backgrounds
Which statement should the nurse include in a presentation for nurses new to the facility on the client population of the facility? 1. "Our clients come from a broad range of backgrounds, but we have a good interpreter service." 2. "Many of our clients come from backgrounds different from your own, but it doesn't cause problems for the nurses." 3. "Because most of the doctors are bilingual, we don't have to deal with the differences in cultural backgrounds of our clients." 4. "Understanding the common values and health practices of our diverse clients will facilitate better care and health outcomes."
A community health nurse meets with a 15-year-old single mother to teach a tube-feeding technique to her infant. The teen's mother is present
The nurse notes that the young mother is hesitant to try the feeding technique and does not ask questions. During the feeding, the teen mother almost drops the feeding tube and is scolded by her mother for being clumsy. Based on this initial information, which nursing diagnosis is most appropriate? 1. Anxiety related to lack of knowledge and inexperience 2. Ineffective Family Coping related to conflicted daughter–parent relationship and dysfunctional communication 3. Social Interaction Impaired related to paternal interference 4. Self-Esteem (Low) Situational, related to lack of experience, criticism, and role uncertainty
The nurse is planning care for a patient who is at risk for pressure ulcer development. Which action should be included in this patient's plan of care?
Select all that apply. 1. Use pillows to offload pressure. 2. Turn at least every 2 hours. 3. Use a mild cleansing agent on the skin. 4. Keep on bed rest. 5. Pull up in bed every 2 hours or less.