In communicating with a family who has experienced divorce, what is an important concept to remember?
a. Information should be shared with all family members.
b. Determine first how the family interacts and communicates.
c. Speak only with the females in the family.
d. Exclude children from all healthcare information and communication.
B
Divorce is a major life crisis that brings challenges to families, especially in the area of communication. Determining an understanding of how those in the family interact with each other is an important first step in communicating with the family.
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The mother of a hospitalized toddler states, "He cries when I visit. Maybe I should just stay away." What is the nurse's best response?
a. "Perhaps you are right. He only gets upset when you have to leave." b. "It is important that you are here. This is a common reaction in children when they are separated from their parents." c. "It might be easier for your child if you would stay with him, but this decision is up to you." d. "We take good care of him and he seems fine when you are not here."
The nurse is administering a prescribed fibrinolytic to a client who is having a myocardial infarction (MI). Which adverse effect does the nurse monitor for?
a. Bleeding b. Orthostatic hypotension c. Deep vein thrombosis d. Nausea and vomiting
One month ago, a patient diagnosed with borderline personality disorder and a history of self-mutilation began dialectical behavior therapy. Today the patient phones to say, "I feel empty and want to hurt myself." The nurse should:
a. arrange for emergency inpatient hospitalization. b. send the patient to the crisis intervention unit for 8 to 12 hours. c. assist the patient to choose coping strategies for triggering situations. d. advise the patient to take an anti-anxiety medication to decrease the anxiety level.
An elderly patient has come to the emergency room stating she has not voided for 24 hours. Which of the following statements by the patient contributes to her inability to void?
A) My physician has prescribed a diuretic and potassium supplement to manage my hypertension. "I take Maxidex for my high blood pressure." B) I drink eight glasses of water per day. C) Yesterday I was congested so I took several doses of Benadryl. D) I have a bowel movement every day.