A child with ADHD is referred to the nurse practitioner for family therapy. The father and mother are out of the country and have been out of touch for three months
The child's older sister has assumed the role of parenting her younger sibling. This is an example of a: 1. Disengaged family.
2. Enmeshed family.
3. Skewed family.
4. Schismatic family.
1
Rationale: In disengaged families, family members seem oblivious to the effects of their actions on one another. They are unresponsive and unconnected to each other. Structure, order, or authority in the family may be weak or nonexistent. In these families, a child often assumes the parental role. The family does not appear skewed, enmeshed or schismatic.
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One of the greatest challenges for nurses today in teaching patients about their disease and care is
A) short length of stay. B) learning disabilities. C) educational level. D) family involvement.
The nurse is assisting to prepare a nursing care plan for a patient with continuous IVs. The goal of IV therapy is to:
1. promote and maintain fluid and electrolyte balance. 2. promote drug blood levels when the patient is able to take liquid medication by mouth. 3. promote oxygen and carbon dioxide homeostasis. 4. balance plasma acidity levels.
The nurse is performing a nutrition assessment on the client. Which of the following may be documented by the nurse regarding laboratory results?
1. "Client lost 20 pounds during last 2 months.". 2. "Dental caries and poor oral health noted.". 3. "Leukocytosis.". 4. "Client using St. John's worst daily.".
A nurse is caring for a 10-day-old neonate who was born at 33 weeks' gestation. Which of the following actions assist the nurse in assessing for signs of feeding tolerance? Select all that apply
A) Check for presence of bowel sounds B) Assess temperature C) Check gastric residual by aspirating stomach contents D) Assess stools