The nurse is helping an adult child transition into the role of full-time caregiver for an older parent with dementi
a. What action by the nurse is best?
a. Ensure the child has information on long-term care.
b. Help the child negotiate care issues with siblings.
c. Teach the child about the parent's illness.
d. Offer the child information on support groups.
B
All actions are appropriate and helpful; however, family issues often arise among siblings when there are differences in expectations of assistance. The nurse can best help out in this situation by assisting the caregiver to negotiate roles among the siblings.
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A patient with protruding lumbar disks is scheduled for a laminectomy. What should the nurse instruct the patient about this surgery?
Select all that apply. 1. The surgery will relieve pressure on the nerves. 2. A hollow titanium cylinder will be placed over the spine. 3. The spaces where the spinal nerves exit the canal will be enlarged. 4. The bony arch on the surface of the vertebra will be removed. 5. Wedge-shaped pieces of bone will be inserted between the vertebrae.
During a physical examination a young patient asks for information about birth control. What information in the patient's history should the nurse use to guide teaching?
Select all that apply. 1. multiple sex partners 2. no use of condoms 3. lives with grandmother 4. aged 15 5. allergic to penicillin
A nursing instructor evaluates whether the nursing students know the steps in the NCSBN decision-making tree. Which response by a student would indicate that further teaching is needed?
a. Assessment, planning, and communication b. Intervention and delegation c. Surveillance and supervision d. Evaluation and feedback
During an intake interview, the nurse observes the patient grimacing and holding his hand over his stomach. The patient previously denied having any pain. What action should the nurse take next?
a. Examine the history closely for etiology of pain. b. Ask the patient if he is experiencing ab-dominal pain. c. Record that patient seems to be having abdominal discomfort. d. Physically examine the patient's abdomen.