The pediatric nurse devises strategies to prevent illness in the families who visit a community health care clinic. These strategies may include:
Select all answers that apply.
A) designing a prenatal care program for pregnant women.
B) reporting abnormal test findings to primary care physicians.
C) working with families to assess areas of strengths and risks for illness.
D) planning and implementing rehabilitation measures for chronic illnesses.
A, C
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A client is in the clinic for a follow-up visit after a moderate traumatic brain injury. The client's spouse is very frustrated, stating that the client's personality has changed and the situation is intolerable. What action by the nurse is best?
a. Explain that personality changes are common following brain injuries. b. Ask the client why he or she is acting out and behaving differently. c. Refer the client and spouse to a head injury support group. d. Tell the spouse this is expected and he or she will have to learn to cope.
A 93-year-old patient has been functioning independently in the home but has suddenly become confused. A family member asks the nurse, "Does this mean Dad has Alzheimer's disease?" Which of the following is the most appropriate response?
a. "Your father will have to be monitored over time." b. "It is very likely your father has Alzheimer's disease." c. "Why do you think your father has dementia?" d. "Confusion can be a sign of an infection in an older adult."
The nurse is working within the fourth step of the nursing process, or implementation, which involves:
a. validating and organizing data. b. analyzing and labeling data. c. identifying goals and outcomes for the client. d. performing or delegating nursing activities.
During an assessment of the cranial nerves, the nurse asks the client to smile, frown, wrinkle the forehead, and puff out the cheeks. What nerve is being tested by this action?
A) Cranial nerve I B) Cranial nerves II and III C) Cranial nerve VII D) Cranial nerve VIII