Which of the following would be least appropriate for a community health nurse to include in a plan of care at the secondary prevention level for families who may need to respond in a case of crisis in the future?
A) Teaching social problem-solving skills
B) Helping women develop assertiveness skills
C) Providing parenting classes
D) Helping to reestablish as sense of safety
Ans: D
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A patient with a ruptured diverticulum in the descending colon has undergone a transverse loop colostomy. The patient is upset and says, "I didn't know it was going to be this awful. I hate this!" Which response made by the nurse would be most helpful?
a. "This is a temporary solution. It will be closed in 6 weeks." b. "This seems awful now, but you won't have the problems you had before." c. "If everything goes well the surgeon can close this colostomy in about a year." d. "With the appropriate pouch and loose clothing, no one will notice a thing."
A patient who has a history of episodes of road rage thinks that she is a very good driver and doesn't understand why she keeps being told she is a poor driver
She will lose her license now, and she tells you that she is feeling very unhappy and abandoned. She feels like she might hurt herself. The nurse realizes that the patient is exhibiting: 1. narcissistic personality disorder. 2. paranoid personality disorder. 3. schizoid personality disorder. 4. borderline personality disorder.
The nurse observes the patient during a major abdominal dressing change for signs of pain and discomfort. Which of the following facets of pain can be observed by the nurse during this procedure?
1. pain behaviors 2. nociception 3. pain 4. suffering
The side-lying position is:
a. The supine position b. Fowler's position c. Sims' position d. The lateral position