A client says to the nurse, "I have to do everything. My family can't plan or organize anything. My wife just wants to go out and socialize. My grown son and his wife live with us. They never do anything around the house but 'their' stuff, because they say they pay rent. We really need their rent money since I lost my job. My wife could work but she says 'it's too late to start over' for her. Well, that's what I'm doing—more work at far less money." Which response by the nurse would be therapeutic?

A. "Do the terms 'divorce' and 'leave the nest' mean anything to you or your family?"
B. "Would your family come in to see me so I can hear their version of the problems you cite?"
C. "You seem to be going through quite a lot recently. I'd like to hear more from you about your concerns. Would your family come in and talk with us?"
D. "You tell me that you do everything. You don't say what happens when you stop doing everything. Does your wife understand that you are not able to work as you once did and that you need her help?


Answer: C. "You seem to be going through quite a lot recently. I'd like to hear more from you about your concerns. Would your family come in and talk with us?"

Nursing

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The nurse is assessing a newly admitted medical patient and notes there is a depression in the lower portion of the patient's sternum. This patient's health record should note the presence of what chest deformity?

A) A barrel chest B) A funnel chest C) A pigeon chest D) Kyphoscoliosis

Nursing

The physician has ordered a peripheral IV to be inserted before the patient goes to the operating room. What should the nurse do when selecting a site on the hand or arm for insertion of an IV catheter?

A) Choose a proximal site B) Choose a distal site C) Have the patient hold his arm over his head D) Leave the tourniquet on for at least 5 minutes

Nursing

A nurse reads that a case involving the care provided in a hospital will be reviewed by the United States Supreme Court. The nurse suspects that which situations could have occurred?

Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The case involves a constitutional issue. 2. Two lower federal courts have reached different conclusions in the case. 3. The hospital involved is a military hospital. 4. The care in question included the suspicion of premeditated homicide. 5. The patient involved in the case was an undocumented alien.

Nursing

The concept of prevention is a key component of modern community health practice. What is the goal of tertiary prevention?

A) General health promotion, such as nutrition, hygiene, exercise, and environmental protection B) Specific health promotion, such as immunizations and the wearing of protective devices to prevent injuries C) Detect and treat a problem at the earliest possible stage when disease or impairment already exists D) Limit disability and rehabilitate or restore affected people to their maximum possible capacities

Nursing