The nurse is assessing a family dealing with the stress of unemployment and the stress of a child with chronic asthma. The assessment reveals that the family is attending to only those aspects of the situation that do not cause distress or pain

How should the nurse document this assessment finding?
1. Denial.
2. Selective inattention.
3. Isolation.
4. Rationalization.


Answer: 2
Explanation: 2. Selective inattention is described as attending to only those aspects of the situation that do not cause distress or pain. Denial is ignoring threat-provoking aspects of a situation or changing the meaning of the situation to make it less threatening. Isolation is separating emotion from content in a situation so one can deal objectively with otherwise threatening or emotionally overwhelming conditions. Rationalization is giving a "good" or rational excuse but is not the real reason for responding to a situation with a particular behavior.

Nursing

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A father and son have a long history of hostility and conflict. As the father dies, he finally expresses his love, but the son is unable to respond verbally. Which gift of resolving relationships is most important to address with the son?

a. Guilt b. Anger c. Gratitude d. Forgiveness

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Examination of the range of motion of a patient's cervical spine is flexion, 45°; hyperextension, 55°; lateral bending, 40° to left and right; and rotation, 70° to left and right. These findings most likely indicate

a. normal range of motion. b. Klippel-Feil syndrome. c. degenerative joint disease of the cervical vertebrae. d. spondylosis.

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The nursing instructor is presenting a class on transcultural nursing to her senior community nursing class. What would be the best definition the instructor could give her class on transcultural nursing?

A) Transcultural nursing is really cross-cultural nursing. B) Transcultural nursing refers to research-focused practice that focuses on patient-centered, culturally competent nursing. C) Transcultural nursing refers to research-focused multicultural nursing. D) Transcultural nursing is a term sometimes used interchangeably with intercultural nursing.

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A client has been diagnosed with tuberculosis. How long does the nurse anticipate this client will require treatment?

1. 2-4 weeks 2. 6-12 months 3. 3-6 months 4. 10-14 days

Nursing