A nurse is working with a family who has arrived at the emergency room after their child was injured by a dog bite. After the provider cared for the child, his mother sat sobbing
The child's father told the nurse that his family has been very stressed since the sudden death of his mother who lived with them. He states that his wife has been depressed, and he does not know what to do about it. Which family nursing diagnosis would be most appropriate? a. Adaptive Family Processes
b. Interrupted Family Processes
c. Risk for Interrupted Family Processes
d. Readiness for Enhanced Family Processes
B
Interrupted Family Processes is used when a family is unable to meet the physical, emotional, or spiritual needs of its members. The family would require support to find a new adjustment or equilibrium to regain its function. The family in the question has experienced the death of a family member, which has left the wife depressed. This disruption is only compounded by the child being bitten by the dog.
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During a home visit, a client asks the community health nurse to take her shopping to purchase some of the food items she needs for her diet. Which response by the nurse would be most appropriate?
A) "I can't. I'm going in a totally different direction." B) "You need to find some other way to get to the store." C) "I'll help you find a way to get to the store." D) "Use the foods you have in the house and shop next week."
A resident is confused. It is time for the person's shower. What should you do?
a. Explain what you are going to do and why. b. Ask the person to undress. c. Ask if the person wants a tub bath or shower. d. Let the confusion pass before you assist with the person's shower.
While preparing a class on maternal-fetal ABO incompatibility for antepartum patients, the nurse is creating a brochure. Which statement should be included in the brochure information?
1. In most cases, ABO incompatibility is limited to type A mothers with a type B or O fetus. 2. Group A infants, because they have no antigenic sites on the red blood cells (RBCs), are never affected regardless of the mother's blood type. 3. In most cases, ABO incompatibility is limited to type O mothers with a type A or B fetus. 4. ABO incompatibility occurs as a result of the fetal serum antibodies present and interaction between the antigen sites on the maternal RBCs.
Rana, a 32-year-old G5, TPAL 4004 woman is in early labor with her sister as a support person. The perinatal nurse would demonstrate cultural sensitivity by:
A) Asking Rana about her need for an interpreter B) Asking about her preference for hot/cold liquids during labor C) Asking about her pain management options D) Asking Rana about her preferences for touch as part of her care during labor