The perinatal nurse caring for a 24-year-old mother of an infant born at 26 weeks' gestation is providing discharge teaching. The patient is going to travel to the specialty center approximately 200 miles away, where her daughter is receiving care
The nurse tells the patient that it is normal for her to feel which emotions? (Select all that apply.)
A.
Afraid
B.
Anxious
C.
Guilty
D.
In control
E.
Overwhelmed
ANS: A, B, C, E
Separation of family members needing care in specialty or tertiary care settings often leads to feelings of anxiety, abandonment, fear, and guilt, all of which can be overwhelming in the setting of a serious physical illness in a family member. It would not be common for a family member to feel in control.
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Indicate whether the statement is true or false
The nurse is to meet a family for the first family therapy session. The husband/father is an
accountant who admits to being skeptical of the idea that talking can help the family strengthen its ability to cope with life stressors. The wife/mother is a teacher who states she is not skillful in conflict resolution. The son, aged 15 years, defies parents and teachers and is in academic trouble. The daughter, aged 17 years, is trying to decide whether to attend a local college and live at home or attend an out-of-state university. During the first meeting the nurse should plan to a. elicit the perspective of each family member. b. maintain the focus of all members on the here and now. c. provide psychoeducation regarding oppositional defiant disorder. d. state the expectation that members will promote and support family coping.
Which of the following should be included when teaching the patient about a severe food allergy?
A) The patient always has the food allergy for life. B) Eat minute amounts of the food to expose the body to the antigens. C) The antigen may cause constipation during a reaction. D) Carry an EpiPen at all times.
Which patient is at most risk for liver cancer and needs education regarding liver cancer signs and symptoms? Select the best answer.
1. A client with a history of colon polyps 2. A client with a diagnosis of diverticulitis 3. A client with a past history of smoking 4. A client with a history of hepatitis B infection