The nurse is evaluating the success of wellness care provided to a new family in the community. Which observations indicate that care has been successful?

Select all that apply.
A) The children are observed eating donuts for breakfast.
B) All family members have up-to-date immunizations.
C) The family spends every Saturday afternoon participating in physical activities.
D) The youngest child squints when reading school work.
E) The oldest child does not wash his hands before eating.


Answer: B, C

Evaluation of care is based on the family's progress toward goals and outcomes mutually determined by the family and nurse. Examples of achieved outcomes include the following: family members demonstrate more frequent engagement in activities that involve the entire family unit, each family member is up to date with all vaccinations, and individual family members report a decrease in or cessation of behaviors associated with adverse health conditions and disease. Eating donuts for breakfast could indicate poor nutrition. Squinting when reading indicates the need for a vision assessment. And not washing hands before eating could lead to the ingestion of a microorganism that could cause disease.

Nursing

You might also like to view...

Nurses taking care of children with pain should understand that the pain stimulates the adrenergic nervous system, which will result in which physiologic change?

1. Hypotension 2. Pupil constriction 3. Increased perspiration 4. Bradycardia

Nursing

A teenage patient comes to the emergency department with complaints of an inability to breathe and a sharp pain in the left side of his chest. The assessment findings include cyanosis, tachypnea, tracheal deviation to the right, decreased tactile

fremitus on the left, hyperresonance on the left, and decreased breath sounds on the left. The nurse interprets that these assessment findings are consistent with: a. Bronchitis. b. Pneumothorax. c. Acute pneumonia. d. Asthmatic attack.

Nursing

A patient with iron-deficiency anemia states that she has minimal energy and finds it difficult to manage the household and work. The most appropriate intervention for the nurse to take to manage the fatigue is to:

A) Encourage the patient to stop working. B) Encourage the patient to do minimal to no physical activity. C) Assist the patient to prioritize activities and establish an activity/rest schedule. D) Instruct the patient to perform activities only in the evening.

Nursing

The nurse is interviewing a patient whose wife reports, "He's really forgetting things more these days." To provide the best assessment of this complaint, what should the nurse do first?

1. Ask the wife to give examples of the patient's forgetfulness. 2. Have the patient take the Mini-Mental Status Examination (MMSE). 3. Use the mnemonic OLD CARTS to obtain assessment data. 4. Ask the patient if he too feels he's "forgetful."

Nursing