The nurse is caring for an elderly patient. As visiting hours approach, the patient becomes increasingly anxious and states she is worried that her son will be angry with her for being sick and in the CCU
What is the most appropriate nursing intervention?
A) Assess the patient for possible abuse.
B) Assure the patient that her son loves her.
C) Tell the son that his mother thinks he is angry with her.
D) Give the son extra time to visit his mother.
A
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Qualifiers are added to some NANDA statements to:
1. Explain the cause of the nursing diagnosis. 2. Give additional meaning to the diagnostic statement. 3. Connect to the medical diagnosis. 4. Identify collaborative problems.
For the past three evenings, shortly after their arrival in the hospital unit, the parents of a 14-year-old daughter begin to argue about the cost of the hospitalization and the time required to come to the hospital
The patient begins to cry and complains about her abdominal pain. What role is the patient assuming? a. Caretaker b. Martyr c. Blocker d. Scapegoat
When caring for a victim of family violence, the intervention that would be most therapeutic is to:
A) Acknowledge the victim's inability to change the situation. B) Avoid pressuring the victim to leave the abuser. C) Invite the abuser to stay with the victim during the assessment. D) Avoid asking the victim directly whether abuse is occurring.
Following surgical correction of hypertrophic pyloric stenosis, the nurse will teach the family members to save diapers for which of the following reasons?
a. to check the color of the urine as an indicator of bladder functioning b. to determine the number of soaked diapers per shift c. to measure urine output by weighing the diapers d. to test the urine for sugar and ketones