The nurse observes a woman and her sister who live together. They are trying to support one another and provide extended care to their mother who has recently been diagnosed with Alzheimer's disease
The two sisters describe their experience with a homemaker who visits their home to help bathe their mother. They say she is "humorous and cheerful" and absorbs their mother's attention for the whole time she is present. This is a positive description of which component of Bowen's family systems theory?
A.
Communication
B.
Family relationship building
C.
Family rituals
D.
Triangulation
ANS: D
According to Bowen, triangulation occurs when a dyad (the sisters) focuses on a third person who draws attention away from their conflicts. The homemaker is serving this function in this family. Bowen's theory looks at family problems that are rooted in family processes, such as communication. Relationship building and rituals are not part of this theory.
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Which issue is of concern to nursing?
1. The grand theories of nursing often do not take environment into consideration. 2. The level of theory that drives much research in nursing is generally from other disciplines. 3. The majority of nursing research is guided by grand theories. 4. There are no middle-range nursing theories.
The nurse is responsible for monitoring the feedings of the infant with hyperbilirubinemia every 2 to 3 hours around the clock. The purpose of these formula or breast feedings is to: a. prevent hyperglycemia
b. provide fluids and protein. c. decrease gastrointestinal motility. d. prevent rapid emptying of the bilirubin from the bowel.
A patient who experienced an upper GI bleed due to gastritis has had the bleeding controlled and the patient's condition is now stable
For the next several hours, the nurse caring for this patient should assess for what signs and symptoms of recurrence? A) Tachycardia, hypotension, and tachypnea B) Tarry, foul-smelling stools C) Diaphoresis and sudden onset of abdominal pain D) Sudden thirst, unrelieved by oral fluid administration
An older woman is preparing to move in with her daughter following the death of her spouse of 55 years. The daughter asks a nurse, "I know we are doing the right thing for mom, but I am a bit nervous about this
Do you have any suggestions about things that we should do in preparation?" The nurse re-sponds: (Select all that apply.) a. "Have you chosen an area of the house for your mom to live in?" b. "Have you considered scheduling regular visits for your mom with your sister who lives out of state?" c. "You have every right to be nervous; mul-tigenerational households are usually not successful." d. "Have you investigated what activities are available at the senior center near your home?" e. "Since your mom is so computer literate she can stay in touch with her friends when she moves."