What is the first thing the nurse should do before involving the family in the care of a dying patient?
a. Ask the patient if he or she wants family care
b. Ask family members if they want to assist with care
c. Check the hospital policy on the family giving care
d. Set a caring example
ANS: B
Ascertaining whether the family wants to assist in the patient's daily care will clarify what the family members are comfortable doing.
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Internal developmental problems are seen as a causative factor for some behavioral and family problems during adolescence. Psychological developmental issues that can lead to problems during late adolescence (17 to 20 years old) include:
a. Wide mood swings b. Tendency to withdraw when upset c. Intense daydreaming d. Concealing of anger
A man was brought to the emergency room for treatment of minor injuries after an accident in which his life partner, a transvestite, was killed
He refuses care, paces, screams, "Why, why, why!" repeatedly, and scratches at his arms as if trying to tear the flesh. A nurse says, "Geez, he's going to hurt himself. We'd better admit him to psych.". Which explanation for the nurse's response is most likely? a. The nurse's experience tells her that the patient is developing a psychotic reaction to the stress of the accident and death. b. She is stigmatizing the patient due to his sexuality, dramatic grief response, and connection to a transvestite person. c. The nurse is unsure how to handle a person presenting in this manner, is anxious as a result, and copes by wanting to shift the patient to another unit. d. Medical nurses usually have less skill in managing emotional problems, and psychiatric staff are more appropriate to deal with persons who are grieving.
In which nursing care model is the RN usually appointed the position of group leader?
a. Total patient care b. Primary nursing c. Team nursing d. Case management
Which child is most at risk for nephrotic syndrome?
1. A 4 year old recovering from pneumonia 2. A 7 year old with group A beta-hemolytic strep throat infection 3. A 2 year old with leukemia 4. A 16 year old with a sexually transmitted disease