Nursing - Family
Obesity in children is an ever-increasing problem. What should a nurse consider before confronting the problem with individual children
Familial and cultural influences are deciding factors in eating habits
The nurse explains to the mother of a preschool child that Erikson identified the developmental conflict of children from 3 to 5 years as
Initiative versus guilt
A nurse hired to work in a metropolitan hospital provides services for a culturally diverse population. One of the nurses on the unit says it is the nurses' responsibility to discourage "these people" from bringing all that "home medicine stuff" to their family members. Which response by the recently hired nurse is most appropriate?
Nontraditional approaches to health care can be beneficial.
Which instruction does the nurse give to the parents to help their child get accustomed to a new babysitter?
Stay close and allow the child to observe the babysitter.
When a disturbed, acting-out client's condition improves, the health care provider suggests a one-day pass. The client's family is nervous about the pass and is worried about what they will do if the client starts to act out. What is the best intervention by the nurse at this time?
Discussing this concern at a meeting with the client and the family present
What should nurses consider when working with depressed young children?
It is important to include the family in the treatment plan.
A nurse is concerned about a client's mother-infant bonding when on the first postpartum day she is reluctant to:
Look at her newborn's face.
A nurse is working with a child who was physically abused by a parent. What is the most important goal for this family?
The child will live in a safe environment
A 50-year-old male client has difficulty communicating because of expressive aphasia after a cerebrovascular accident (CVA, also known as a "brain attack"). When the nurse asks the client how he is feeling, his wife answers for him. How should the nurse address this behavior?
Acknowledge the wife but look at the client for a response
The wife of a client who has completed alcohol detoxification relates that she is concerned about her husband's behavior if he starts drinking again. She says, "When the drinking starts it really disrupts my family, and I'm not sure how to handle it." What is the best response by the nurse?
Attend Al-Anon meetings and avoid assuming responsibility for your husband's behavior.
After a difficult labor a client gives birth to a 9-lb boy who dies shortly afterward. That evening the client tearfully describes to the nurse her projected image of her son and what his future might have been. What is the nurse's most therapeutic response?
"It must be difficult to think of him now.
An 80-year-old client with dementia of the Alzheimer type is admitted to a nursing home. A family member visits and remarks how thin and wrinkled the client has become. Which response by the nurse will help the family member most to understand the aging process?
"As we age, we lose the tissue that helps puff out the skin."
A parent who is visiting a hospitalized adolescent gets into an argument with the adolescent. Leaving the adolescent's room in tears, the parent meets the nurse and relates the argument, saying, "I can't believe I got so angry that I could have hit her." What is the most therapeutic response by the nurse?
"Sometimes we find it difficult to live up to our own expectations of ourselves."
Several hours after delivery, a new mother expresses ambivalence about her infant. How will the nurse promote bonding between this mother and her newborn?
Having the mother feed the infant
A client with dementia and a percutaneous endoscopic gastrostomy (PEG) tube is being cared for at home. Which action provides evidence that a family member is effectively managing the client's care?
Head of the bed remains elevated after the feeding.
A mother brings her 7-year-old son into an outpatient clinic for a follow-up appointment. The mother appears angry and agitated with the boy. Looking at the boy's medical chart, the nurse notes that the boy has a diagnosis of encopresis. The primary symptom of encopresis is:
Passing feces either voluntarily or involuntarily into inappropriate places
The nurse is developing a plan of care for the client who has activity intolerance. In determining the desired client outcomes the nurse should:
Set priorities and outcomes using client's and family input
After giving birth to her third child, a client tearfully says to the nurse, "How much more can I give of myself?" What principle should the nurse consider in the care of any person with children
Some parents experience feelings of being overwhelmed by multiple children.
The parents of a gifted 4-year-old notice that their child has been showing signs of rebellion and acting out. One important thing to teach the parents about gifted children is:
They need boundaries like any other child
A female client with a diagnosis of obsessive-compulsive personality disorder goes to the mental health center. She is restless, irritable, and angry at her adolescent children because they do not perform the household chores correctly and she has to do all the work again. What is the most therapeutic response by the nurse?
"It must be frustrating. How can you help them learn to do the chores correctly?
An adolescent female with an antisocial personality disorder plans to live with her parents after discharge. The parents request advice on how to respond to their daughter's unruly behavior. What is the most therapeutic response by the nurse?
"Set clear limits, explain the consequences if she disregards them, and firmly and consistently apply them
A female client with the diagnosis of Crohn's disease tells the nurse that her boyfriend dates other women. She believes that this behavior causes an increase in her symptoms. What should the nurse do first when counseling this client?
Help the client explore attitudes about herself.
A client with multiple sclerosis is admitted to the hospital. The client's exacerbations have become more frequent and more severe. One day, the client's partner confides to the nurse, "Life is getting very hard and depressing, and I am upset with myself for thinking about a nursing home." After listening to the partner's concerns, what is the best response by the nurse?
Joining a support group of people who are coping with this problem may be helpful
An older client who has had multiple hospital admissions for recurring heart failure is returned to the hospital by an adult child. The client is admitted for observation to the coronary care unit and calmly states, "I know I'm sick, but I can really take care of myself at home." What should the nurse conclude that the client most likely is attempting to do?
Maintain independence
Why is it important for the nurse to teach a caregiver how to monitor the oxygen saturation level of a relative who will receive home ventilator therapy?
Potential problems can be identified and acted on before serious consequences occur.
What does a public health nurse expect to encounter when working with families raised in a culture of poverty?
Powerlessness relative to changing their situation
The nurse is providing care for parents who have experienced a stillbirth. What is the most appropriate intervention?
Providing the parents the opportunity to say goodbye to their newborn
A nurse plans to use family therapy as a means of helping a family cope with their child's terminal illness. The nurse bases this choice on the principle that:
The entire family is involved because what happens to one member affects all.
The spouse of a client who had a brain attack (cerebrovascular accident) tells the home health nurse that the client cries easily and without provocation. The spouse asks why the client is so emotionally fragile. What is the nurse's best response?
This behavior is a common response over which the client has very little control.
A female client with a diagnosis of obsessive-compulsive personality disorder goes to the mental health center. She is restless, irritable, and angry at her adolescent children because they do not perform the household chores correctly and she has to do all the work again. What is the most therapeutic response by the nurse?
It must be frustrating. How can you help them learn to do the chores correctly?
