The nurse has formulated the nursing diagnosis Interrupted Family Processes for the family of a critically ill client in the ICU with shock. The nurse would realize that outcomes for this diagno-sis may not have been met when
a. a member of the family insists on using previous coping mechanisms.
b. members of the family seem supportive of each other.
c. the family is willing to participate in decision making.
d. the nurse has to repeat information several times before it is remembered.
A
A family member who is rigidly adhering to previous coping methods may not be coping well at all. If the coping methods did not work well when used before, or if they are not working now in the setting of a critical illness in a loved one, the individual needs to learn and use new methods. It is normal for the nurse to have to repeat information several times in this stressful situation. Having the family participate in decision making shows an increased capacity for coping. Cer-tainly when family members seem supportive of each other, it shows they are coping well.
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A woman is scheduled for an anterior and posterior culporrhaphy as treatment for a cystocele. When the nurse is explaining this treatment to the client, which of the following descriptions would be most appropriate to include?
A) "This procedure helps to tighten the vaginal wall in the front and back so that your bladder and urethra are in the proper position." B) "Your uterus will be removed through your vagina, helping to relieve the organ that is putting the pressure on your bladder." C) "This is a series of exercises that you will learn how to do so that you can strengthen your bladder muscles." D) "These are plastic devices that your physician will insert into your vagina to provide support to the uterus and keep it in the proper position."
The client is a functional, contributing member of his community and society. He is flexible and willing to change. His behavior is defined as
1. delusional. 2. mentally healthy. 3. mentally deficient. 4. mentally handicapped.
A nurse is using critical pathways to care for a patient. Which area will the nurse address according to the pathway?
a. Activity b. Nursing diagnosis c. Times to chart d. Admission form
When a nurse administers an anticholinergic drug, it is important to assess for symptoms associated with inhibition of
a. spinal nerve function. b. the central nervous system. c. the sympathetic nervous system. d. the parasympathetic nervous system.