A nurse is working with a perpetrator of family violence who has a long history of violent rages when frustrated, with periods of remorse after each outburst. The nurse is most likely to establish the nursing diagnosis of:
a. Risk for injury related to victim reprisal.
b. Risk for other-directed violence related to stress.
c. Ineffective coping related to poor anger management.
d. Caregiver role strain related to feelings of being overwhelmed.
C
Ineffective coping considers the long-term nature of the problem and most directly relates to the pattern of violence following frustration. The known data do not indicate risk from reprisal or caregiver role strain.
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The nurse manager is concerned with the safety of the staff as they transfer patients. Facility policy reinforces the principles of appropriate body mechanics, which include which of the following? (Select all that apply.)
a. A wide base of support increases stability b. A higher center of gravity increases stability c. Facing the direction of movement prevents abnormal twisting of the spine d. Pivoting requires less work than lifting e. Manually lift the patient in sections f. Dividing balanced activity between arms and the legs
Upon delivery of the newborn, which nursing intervention promotes parental attachment?
A) Placing the newborn under the radiant warmer B) Placing the newborn on the bed next to the mother C) Placing the newborn on the maternal abdomen D) Taking the newborn to the nursery for the initial assessment
Disease management is the monitoring of ____
a. Chronic illness across the health care continuum b. Mental illness in the outpatient setting c. Surgical illness across the health care continuum d. Terminal illness in the hospice setting
The teenage mother's behavior seemed consistent with a fantasy that the newborn was rather like a doll who would love her forever. Which of the following would be the most appropriate nursing intervention? (Select all that apply.)
a. Enrolling the mother in a foster grandmother program b. Demonstrating that screaming will help calm the newborn c. Providing the mother a set of "how to be a parent" books d. Inviting the mother to join a support group with other teenage mothers e. Planning nursing assessment visits every 3 months during the first year f. Explaining appropriate maternal behaviors before hospital discharge