Mark is the nurse admitting Mr. Kern to the neurology unit of the hospital. Mr. Kern is an 82-year-old man who lives at home with his wife of 60 years
His daughter and her family live next door to the Kerns and help care for them. Mrs. Kern has diabetes and hypertension, which are both controlled with medication and diet. As Mark develops a plan of care for Mr. Kern, he should consider which of the following nursing diagnoses?
A. Risk for caregiver role strain
B. Disabled family coping
C. Impaired parenting
D. Ineffective role performance
A
During times of acute illness a family becomes distressed and focuses solely on the ill member, neglecting the needs of the other family members. For example, you will always consider the diagnosis of Risk for caregiver role strain a possibility when extended care of a family member is necessary.
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Lussier (1999) noted that there are content motivation theories and process motivation theories. Which of the following is considered a process motivation theory?
a. equity theory b. hierarchy of needs theory c. expectancy-relatedness-growth theory d. hygiene maintenance and motivation factors
A nurse is participating in a community education program. The nurse explains that premenopausal women should perform breast self-examination (BSE):
A) shortly after the menstrual period. B) just before the menstrual period. C) during the menstrual period. D) during ovulation.
When removing sterile gloves, you should
A) begin by de-gloving your non-dominant hand. B) keep the gloves right-side out as you remove them. C) put the fingers of your ungloved hand inside the cuff of the gloved hand. D) wash your gloved hands before removing the gloves.
The patient who has been diagnosed as having a visual acuity of 20/40 asks the nurse what these numbers mean. A correct response by the nurse is:
A) "A person whose vision is 20/40 can see an object from 40 feet away that a person with 20/20 vision can see from 20 feet away." B) "A person whose vision is 20/40 can see an object from 20 feet away that a person with 20/20 vision can see from 40 feet away." C) "A person whose vision is 20/40 can see an object from 40 inches away that a person with 20/20 vision can see from 20 inches away." D) "A person whose vision is 20/40 can see an object from 20 inches away that a person with 20/20 vision can see from 40 inches away."