The nurse recognizes which of the following as a true statement describing families?
A) Adaptable families will change as needed to solve problems. B) A healthy family system will have closed boundaries to protect its members. C) Modern families are characterized only by the relationship between parent and child. D) Blended families are families that include at least three generations.
A
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A patient with a ruptured diverticulum in the descending colon has undergone a transverse loop colostomy. The patient is upset and says, "I didn't know it was going to be this awful. I hate this!"
Which response made by the nurse would be most helpful? a. "This is a temporary solution. It will be closed in 6 weeks." b. "This seems awful now, but you won't have the problems you had before." c. "If everything goes well the surgeon can close this colostomy in about a year." d. "With the appropriate pouch and loose clothing, no one will notice a thing."
The nurse is performing an admission assessment on a 72-year-old female patient who speaks Spanish and broken English. How might the nurse best collect the data?
A) Have a family member provide the data B) Obtain the data from the old chart and physician's assessment C) Obtain the data only from the patient D) Collect the data from the patient and have the family provide any missing details
A patient has a genetic history of disorders. The nurse decides to include in the plan of care measures to protect the patient's cardiovascular health. What findings supported the nurse's clinical decision making?
Select all that apply. 1. The patient's sister developed high cholesterol at age 32. 2. The patient's father had a myocardial infarction at age 50. 3. The patient's brother broke a leg while skiing in the winter. 4. The patient's uncle has cirrhosis of the liver and pancreatitis. 5. The patient's mother was diagnosed with high blood pressure at age 45.
The nurse delegates the application of an external urinary catheter to nursing assistive personnel (NAP), including application of an external urinary catheter. Which aspect of applying the ex-ternal catheter must the nurse perform?
a. Placing the adhesive from the kit to hold the catheter in place b. Checking the condition of the penis and scrotum before the procedure c. Providing perineal care before catheter placement d. Allowing a space between the tip of the penis and the catheter