A nurse is meeting with a Cuban family in which the wife abuses alcohol. During the family assessment meeting, the nurse observes that the husband speaks for the wife and other family members when the nurse is directing questions towards them
The husband says, "I am responsible for my family." What cultural values should the nurse consider when planning care for this client? 1. Health care decisions will involve the entire family.
2. Health care decisions may be made by the husband.
3. Health care decisions may have to be made when the client's husband is not present.
4. Health care decisions will involve the wife only.
2
Rationale: In some Hispanic families, health care decisions may involve the head of the household who decides what is best for the family. If decisions are made without the husband's knowledge and input, it is doubtful that they will succeed.
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Four teenagers died in an automobile accident. One week later, which behavior by parents indicates adaptive mourning? The parents who:
a. isolate themselves at home. b. return immediately to employment. c. forbid other teens in the household to drive a car. d. create a scholarship fund at their child's high school.
A medication, simvastatin (Zocor), is administered to lower a patient's cholesterol level. Follow-up lipid levels are reviewed by the nurse. Which level indicates the desired therapeutic range?
a. High-density lipoprotein (HDL), 29 mg/dL; low-density lipoprotein (LDL), 160 mg/dL b. HDL, 38 mg/dL; LDL, 120 mg/dL c. HDL, 56 mg/dL; LDL, 106 mg/dL d. HDL, 42 mg/dL; LDL, 98 mg/dL
Which intervention would be most appropriate for the client who will undergo a colon resection?
1. Teach the client about deep breathing exercises. 2. Discuss that the length of stay for this procedure is likely to be only overnight. 3. Teach the client that urinary retention is common after this procedure. 4. Teach the client about the drains he or she will likely have after surgery.
A patient admitted in a semistuporous catatonic state has neither left the apartment nor attended to personal hygiene for several weeks. The patient's last 48 hours have been spent lying in bed, mute and motionless
The priority nursing diagnosis is: a. self-care deficit. b. situational low self-esteem. c. disturbed thought processes. d. impaired verbal communication.