Family Dynamics
The nurse is teaching a nursing student. Which student statement regarding abuse in a family is accurate? 1 "Neglect is manifested by contractures." 2 "Intimidation is a type of physical abuse." 3 "Failing to provide clothing to an older person is financial abuse." 4 "Prolonged caregiving by a family member does not result in conflict."
1 "Neglect is manifested by contractures." Contractures are a manifestation in older patients who are subjected to neglect. Emotional abuse involves the use of intimidation. Failing to provide clothing to an older person is neglect. When family members offer prolonged caregiving in a family, it might result in conflict, strain, or role fatigue.
The novice nurse working in a nursing home is learning about minimizing effects of relocation stress. Which statement made by the novice nurse shows understanding of this concept? 1 "The patient's family should bring in special personal items and family photographs from the patient's home." 2 "The patient's family should avoid visiting when the patient is scheduled for procedures or therapies." 3 "I should provide a full schedule of daily activities, meals, and bathing time to the patient upon arrival." 4 "I should avoid asking the patient what he or she thinks life will be like here to avoid causing anxiety."
1 "The patient's family should bring in special personal items and family photographs from the patient's home." Having items from home will help the patient's new surroundings feel more comfortable and familiar, thereby minimizing the effects of relocation stress. The novice nurse is correct in suggesting the family bring in personal items and photographs. The novice nurse is incorrect in suggesting that asking the patient what he or she thinks life will be like will cause anxiety. To the contrary, asking the patient about expectations will minimize the effects of relocation stress. The patient should be involved in decision-making, and the nurse should assess the patient's usual lifestyle rather than scheduling the patient's daily activities for him or her with no patient input. Rather than having the family avoid visiting when the patient is scheduled for procedures or therapies, the nurse should encourage the family to accompany the patient when leaving for such appointments to help minimize the effects of relocation stress.
The wife of a patient with Alzheimer's disease mentions to the home health nurse that although she loves him, she is exhausted caring for her husband. What does the nurse suggest to alleviate caregiver stress? 1 Arrange for respite care 2 Teach the patient improved self-care 3 Provide positive reinforcement and support to the wife 4 Restrain the patient for a short time each day to allow the wife to rest
1 Arrange for respite care Respite care can give the wife some time to reenergize and will provide a social outlet for the patient. Providing positive reinforcement and support is encouraging, but does not help the wife's situation. Restraints are almost never appropriate and are used only as an absolute last resort. The patient with Alzheimer's disease typically is unable to learn improved self-care.
A 75-year-old patient is being cared for by an adult child. At an appointment, the patient reports that things have been better at home and they have adjusted into a routine. The patient's child comments, "In the afternoons I give a little medication to sedate my parent so I can take care of bills and chores." How does the nurse respond? 1 By calling Adult Protective Services and reporting that the patient is being abused by the adult child caretaker 2 By praising the caretaker for settling into a routine and acknowledging the challenges of caring for an older parent 3 By providing brochures for a nursing home in case the caretaker decides the current arrangement is too burdensome 4 By suggesting the caretaker speak to the provider to make sure the sedative is compatible with the patient's prescriptions
1 By calling Adult Protective Services and reporting that the patient is being abused by the adult child caretaker The caretaker's behavior of sedating the older adult is considered physical abuse. The nurse is required by law to report suspected abuse and will therefore call Adult Protective Services and report the abuse. The caretaker should not be praised for the abusive behavior of sedating the parent. Suggesting that the sedative should be checked for compatibility with the patient's prescriptions would be condoning the abusive behavior. Providing brochures for a nursing home without taking any other action would be ignoring the abuse, which is unethical and could lead to further harm to the patient.
When examining a patient in the emergency department, the nurse observes human bite marks, cigarette burns, and bruises all over the body. Which priority intervention should the nurse take in this situation? 1 Conduct a survey based on "ABCDE" mnemonic. 2 Provide information about developing a safety plan. 3 Coordinate with crisis staff to assist family of the victim. 4 Collaborate with the rest of the staff to make a plan for the patient moving forward.
1 Conduct. a survey based on "ABCDE" mnemonic The physical findings that the nurse observes are typical of intimate partner violence. When a victim of intimate partner violence is brought to the emergency department, the priority intervention is to conduct a survey based on "ABCDE" mnemonic to determine any immediate threats to the patient's life. This assessment includes airway/cervical spine (A); breathing (B); circulation (C); disability (D); and exposure (E). Forensic nurse examiners (RN-FNEs) can help provide information about developing a safety plan to escape the violent relationship, but this is a lower priority than determining any immediate physical threats to the patient's life. Similarly, the nurse can coordinate with the crisis staff to assist family if necessary, and he or she can collaborate with the staff to make a plan for the patient moving forward, but these actions can happen after the patient's health has been stabilized.
After teaching a patient's family members about hypovolemic shock, the nurse asks them about the early signs and symptoms that appear in the nonprogressive stage. What symptom identified by a family member requires further teaching? 1 Cyanosis 2 Restlessness 3 Increased respiratory rate 4 Decreased urine output
1 Cyanosis Cyanosis appears later, in the progressive stage of hypovolemic shock. Earlier signs and symptoms of the nonprogressive stage include restlessness, increased respiratory rate, and decreased urine output.
Which manifestation of neglect does the nurse identify as most common in older adults? 1 Depression 2 Fractures 3 Skin burns 4 Bruises on the skin
1 Depression The most common manifestation of neglect in older adults is depression; this may occur in an older adult when family members neglect him or her. Fractures, skin burns, and bruises are signs and symptoms of physical abuse, not neglect.
The nurse at the hospice center is caring for a terminally ill patient. What psychosocial intervention by the nurse provides support to the patient and family? 1 Encouraging reminiscence 2 Explanation of the impending loss 3 Avoiding discussion about spirituality 4 Refraining from discussing physical signs of death
1 Encouraging reminiscence The nurse should encourage reminiscence for both the patient and family to provide the ability to attain perspective and enhance meaning. The nurse should not try to explain the impending loss to the family; it may not be acceptable. The nurse should teach about the physical signs of death to the family and should promote spirituality, if the patient and family are receptive, and be culturally sensitive.
The nurse is assessing a patient who was brought by his son to the hospital. The nurse observes that the patient is malnourished and unkempt. What caregiving problem does the nurse suspect? 1 Neglect 2 Physical abuse 3 Financial abuse 4 Emotional abuse
1 Neglect The nurse may suspect a case of neglect if the patient is malnourished and unkempt. Neglect occurs when the caregiver fails to provide for an older adult's basic needs, such as food, clothing, medications, or assistance with activities of daily living. Physical abuse refers to the use of physical force to injure someone. Financial abuse occurs when the older adult's property or resources are mismanaged or misused by the caregiver. Emotional abuse is associated with intentional use of threats, humiliation, intimidation, and isolating older adults.
Which form of elder abuse does the nurse suspect for a patient who is malnourished and dehydrated? 1 Neglect 2 Physical 3 Financial 4 Emotional
1 Neglect The nurse may suspect that a malnourished and dehydrated patient is a victim of neglect, in which a caregiver fails to provide for the older adult's basic needs. Physical abuse is the use of physical force to cause the patient bodily harm. Emotional abuse involves the use of threats, humiliation, intimidation, and isolation. Financial abuse occurs when the caregiver misuses or mismanages the older adult's financial assets.
The son of a female victim of domestic violence brings her to the emergency department. The nurse observes that the victim has impaired consciousness, a faint pulse, and a gunshot wound to the head. The son has been traumatized and is showing signs of shock. What is the priority nursing intervention in this scenario? 1 Putting the victim on mechanical ventilation 2 Administering hypertonic saline solution to the victim 3 Placing a hemostatic dressing on the injury of the victim 4 Notifying the psychiatric crisis nurse team to coordinate care for the son
1 Putting the victim on mechanical ventilation If the patient's consciousness is significantly impaired and the pulse is faint, the nurse should first put the patient on mechanical ventilation to establish a patent airway. After effective ventilation is established, the nurse can administer hypertonic saline to the patient with head trauma and place a hemostatic dressing to stop the bleeding and manage the life-threatening hemorrhage. As the victim's son is in emotional distress, the psychiatric crisis nurse team should be contacted, but this can be done afterward, since he is not experiencing a life-threatening condition.
Which nursing student statement regarding the role of the psychiatric crisis nurse team indicates a need for further teaching? 1 The team collects forensic evidence. 2 The team is part of the emergency department specialty team. 3 The team may interact with patients and families who are experiencing crisis after a violent event. 4 The team assesses patients with emotional problems and facilitates admission to a psychiatric facility.
1 The team collects forensics evidence Nurses on a psychiatric crisis nurse team are not responsible for collecting forensic evidence; their focus is on mental well-being. The psychiatric crisis nurse team is an emergency department specialty team. The nurses of this team interact with patients and families who are experiencing crisis after a violent event. The team assesses patients with emotional problems or mental illness and facilitates the follow-up treatment plan, which may include admission to an appropriate psychiatric facility.
Which nursing interventions are the priority for a family viewing the dead body of a victim of intimate partner violence? Select all that apply. 1 Dimming the light in the room 2 Keeping the patient's face exposed 3 Having a clergy present to console the family 4 Covering the body of the patient with a sheet 5 Having a crisis staff ready to deliver the news to the family
1,2,4 When an intimate partner violence victim dies before family members arrive, the emergency department nurse should dim the lights in the room and cover the body with a sheet while keeping the patient's face exposed. The nurse can offer the family the option to speak to the clergy for additional support; however, the priority of the nurse should be to prepare the dead body. The nurse should also coordinate with the crisis staff to help the family during this time, but this is a secondary priority.
Which individuals may serve as the newly admitted patient's surrogate for the purpose of behavioral pain assessment? Select all that apply. 1 Parent 2 Spouse 3 Physical therapist 4 Personal caregiver 5 Primary health care provider
1,2,4 A surrogate who knows the patient well (for example, a parent, spouse, or caregiver) may be able to provide information about underlying painful pathology or behaviors that may indicate pain. The primary health care provider is not a suitable surrogate, nor is the patient's physical therapist.
Which changes in behavior and personality in a patient diagnosed with Alzheimer's disease should the nurse educate family members about to help cope with the patient in a better way? Select all that apply. 1 Paranoia 2 Mood stability 3 Hallucinations 4 Aggressiveness 5 Improved decision-making
1,3,4 Alzheimer's disease is seen in older adults. It may cause chronic confusion. In patients with Alzheimer's disease, paranoia (suspicious behavior) is seen commonly. Hallucinations may occur due to confusion. Aggressiveness may also be increased as part of behavioral changes that occur in Alzheimer's disease. Rapid mood swings are seen, and the patient may be unable to make decisions due to confusion.
A patient expresses fear that his or her symptoms are related to his or her family history. What findings does the nurse recognize that indicate the patient's disease or disorder may in fact be linked to a genetic risk? Select all that apply. 1 A rare disease is present in two or more family members. 2 A disease or disorder occurs at a low incidence within the family. 3 The specific manifestations are associated with one or more genetic disorders. 4 The patient or close family members have another identified genetic problem. 5 The incidence of a specific disease occurs at a late age in the patient or in family. 6 More than one type of cancer is present in more than one person in the family.
1,3,4 In taking a patient's family history, the nurse knows that indications of a link to a genetic risk include the presence of a rare disease in two or more family members, the association of the specific manifestations with one or more genetic disorders, and the presence of another genetic problem in the patient or in close family members. Other indications include the finding that the disease or disorder occurs at a higher, not lower, incidence within the family than in the general population, and that the incidence of a specific disease or disorder occurs in the patient or family members at an unusually early, not late, age. Another indicator is that more than one type of cancer is present in any one person in the family.
Researchers conducting a medical study found evidence to identify that which are attributes of patient-centered care? Select all that apply. 1 Physical comfort 2 Respect for nurses' values 3 Communication and education 4 Emotional support for patients 5 Involvement of patient's family and friends
1,3,4,5 Using evidence from a medical study, researchers identified the following as attributes of patient-centered care: physical comfort, communication and education, emotional support for patients, and involvement of the patient's family and friends. Respect for the patients' values rather than the nurses' values is considered an attribute of patient-centered care.
Which statement made by a new nurse about older adult abuse and neglect requires correction from the experienced nurse? 1 "Molesting an older adult is an example of physical abuse." 2 "Hitting an older adult is an example of emotional abuse." 3 "Failing to provide basic needs to an older adult is an example of neglect." 4 "Mismanagement of an older adult's money is an example of financial abuse."
2 "Hitting an old adult is an example of emotional abuse." Molesting, hitting, burning, or pushing a patient are all examples of physical abuse. Hitting an older adult is an example of physical, not emotional, abuse. Failing to provide basic needs to an older adult is an example of neglect. Mismanagement of an older adult's financial resources is an example of financial abuse.
A patient is moving from his or her home to live in a nursing home. The nurse meets with the family to educate them on minimizing the effects of relocation stress as the patient transitions to living in the nursing home. What does the nurse advise the family? 1 "If different rooms become available, you might want to move your family member periodically to keep the environment fresh." 2 "If possible, one of you should come to the nursing home to accompany your family member to the physical therapy sessions." 3 "It's best for you to make decisions about room arrangement and what your family member will bring to decrease the stress of making decisions." 4 "Avoid letting your family member bring too many photos of family and friends, as it will likely make your family member miss home too much."
2 "If possible, one of you should come to the nursing home to accompany your family member to the physical therapy sessions." Having a family member or significant other accompany the patient when he or she needs to leave the unit for therapies and special procedures can help minimize the effects of relocation stress. Unnecessary room changes should be avoided to minimize relocation stress. The patient should be given opportunities to participate in decision-making so that he or she feels empowered; this will also minimize effects of relocation stress. Bringing familiar keepsakes from home, including family photos or special items, can also help minimize effects of relocation stress by making the space seem more familiar.
The provider is planning to discharge a patient home. The nurse suspects domestic violence as the cause of injury, although the patient denies this. What is the best course of action for the nurse to take? 1 Call the police. 2 Consult with Social Services. 3 Discharge the patient as instructed. 4 Instruct the patient to go to a safe place.
2 Consult with Social Services If discharge home is not deemed safe, the patient may be admitted to the hospital until resources can be organized to provide a safe environment. Social workers or case managers are consulted to investigate resource needs and plan accordingly. Calling the police is not an appropriate response. Letting the patient go home could place the patient in danger. The patient may not have a safe place to go.
The nurse is caring for an older adult. When must the nurse act as a mandatory reporter of suspected elder abuse? 1 At any time, regardless of whether there is evidence of abuse or not 2 When the nurse assesses that there is evidence to indicate high potential of abuse 3 Only at the discretion of the health care provider 4 After the nurse has cleared this action with the nurse manager
2 When the nurse assesses that there is evidence to indicate high potential of abuse The nurse must be a mandatory reporter to the appropriate state authority when he or she has assessed that there is evidence to indicate a high potential of abuse. The nurse should have proper evidence before reaching out to the authority. The nurse has the legal and ethical scope to reach out to the authority even without the health care provider's recommendation or the nurse manager's notification.
The nurse is teaching a nursing student about serving as an advocate for a patient who plans to undergo genetic testing. Which of the student's statements demonstrate effective understanding of this role? Select all that apply. 1 "I'll maintain confidentiality of the patient's genetic information." 2 "I'll assess the patient's potential to receive and process information." 3 "I'll ask the patient if he or she has been forced to agree to the testing." 4 "I'll evaluate the patient's understanding of the ramifications of genetic testing." 5 "I'll support the family's decisions about whether the patient will undergo genetic testing."
2,3,4 When evaluating the patient's understanding of the ramifications of genetic testing, the nurse is fulfilling the ethical responsibility to ensure information accuracy. Assessing the patient's ability to comprehend information allows the nurse to act as an advocate by ensuring effective communication. Asking the patient if he or she is being forced into testing is done to support the patient's autonomy. Maintaining confidentiality is upholding the patient's legal and ethical right to privacy but not part of being an advocate. The nurse should support the patient's decision about whether to undergo genetic testing; the family does not get to decide.
Which does the nurse identify as signs and symptoms of neglect in older adults in a family? Select all that apply. 1 Seizures 2 Urine burns 3 Dehydration 4 Hypertension 5 Pressure ulcers
2,3,5 Urine burns result from skin that has been in contact with urine for long periods of time, for example, when a patient is incontinent and not provided with hygiene care for hours. Dehydration occurs when a patient is not assisted or reminded to take in fluids. Pressure ulcers can occur when immobile patients are not turned and positioned frequently. Seizures and hypertension are not associated with neglect.
A patient is at risk for a genetically inherited disorder and is advised genetic testing. Which nursing actions are appropriate? Select all that apply. 1 Encouraging the patient to agree to be tested 2 Referring the patient to any appropriate support groups 3 Asking the patient whether an agency is insisting on the testing 4 Verifying that the patient's family members have signed consent 5 Inquiring privately about the patient's wishes regarding genetic testing
2,3,5 In serving as a patient advocate, the nurse should refer the patient to appropriate support groups if necessary. The nurse should ask the patient whether an agency is insisting on the testing. The nurse should ask the patient privately about his or her wishes regarding genetic testing. Before genetic testing, the nurse should verify whether the patient, not the family, has signed the consent. The nurse should remind the patient that he or she does not have to agree to the test; the nurse should not try to persuade the patient one way or the other.
A patient with bone cancer is scheduled for a right upper extremity amputation. Which statement by the patient's husband indicates an effective coping strategy? 1 "I'll try to limit her visitors." 2 "The family will avoid direct discussion of my wife's amputation." 3 "I'll have to find ways to help my wife focus on positive aspects of her body." 4 "My family will use diversional methods to help her not focus on the amputation."
3 "I'll have to find ways to help my wife focus on positive aspects of her body." Planning to help the patient focus on positive aspects of her body illustrates that the husband is coping with the change in his wife's body image in a positive way. Planning to have the family avoid direct discussion of the amputation does not allow the patient the opportunity to discuss her feelings about the loss of a limb. Visitors could be a source of comfort and may provide a way for the patient to express her feelings, so visitors should not be limited. Using diversional methods to help the patient not focus on the amputation is not an effective coping strategy; it limits the chance for the patient to discuss feelings about the amputation.
A child has been diagnosed with schizophrenia. What is the most caring response the nurse can offer when the mother asks what she could have done to prevent the illness? 1 "Schizophrenia is a genetic disorder. There is hardly anything you could have done to prevent it." 2 "Most of the harm has already been done, but there's still hope. You can change your parenting style." 3 "Schizophrenia is a multifactorial disease just like hypertension. Please don't blame yourself or your parenting for it." 4 "Schizophrenia is caused by impaired family relationships, but please stop feeling guilty. Each child responds differently to parental guidance."
3 "Schizophrenia is a multifactorial disease just like hypertension. Please don't blame yourself or your parenting for it." The family needs assurance that schizophrenia is multifactorial, like hypertension, and not the fault of the parents. The other responses are not wholly accurate or reassuring. Schizophrenia is a disease with a complex inheritance pattern. Although an increased genetic risk may be present, it is affected by diet, lifestyle, exposure to toxins and infectious agents, and other factors. A change in parenting style will not change a diagnosis of schizophrenia nor will it reassure the mother. Saying that schizophrenia is caused by impaired family relationships will not reassure the mother, and it is not helpful.
A nurse is discussing at-home care with the family of a patient who is experiencing pain from terminal cancer. Which family member statement requires further teaching? 1 "The patient will need adequate rest between periods of important daily activities." 2 "We can ask the doctor about premedication prior to ambulatory care treatments." 3 "We should stick to the regimented analgesic plan and never increase the dosage." 4 "We should identify coping strategies we have used in the past that have been effective."
3 "We should stick to the regimented analgesic plan and never increase the dosage." The analgesic plan for a patient experiencing pain from terminal cancer should be flexible, and family members can increase the dosage within the prescribed guidelines. The other statements indicate understanding. Fatigue exacerbates pain, so the patient will need rest in between periods of activity. Medicating the patient before painful treatments is something the family can discuss with the patient's physician. Because pain and advanced cancer result in feelings of anxiety, fear, and powerlessness, the family should identify effective coping strategies that have used in the past.
Which patient should the nurse refer to a social worker before discharge from the emergency department? 1 A patient who was treated for a bleeding wound after a car crash 2 A patient who was treated for severe abdominal pain after being hit by a cab 3 A patient who was treated for bruises and cuts after being attacked by a spouse 4 A patient who was treated for soft tissue injury after falling while playing lacrosse
3 A Patient who was treated for bruises and cuts after being attacked by a spouse The patient who has been treated for bruises and cuts after being attacked by a spouse should be referred to a social worker to ensure a safe environment for the patient. A social worker is not required for patients who have sustained injuries from motor vehicle accidents or while playing sports because these scenarios do not pose a threat to the patient's safety once they are discharged.
An older adult patient who lives with her daughter is admitted to the hospital. During the admission assessment, the nurse notes strong body odor, several large pressure ulcers, and limb contractures. What does the nurse do first? 1 Gives the patient a bath 2 Notifies the health care provider 3 Contacts the hospital social worker 4 Asks the daughter about the ulcers and contractures
3 Contacts the hospital social worker The social worker will assess the patient's situation and will contact the appropriate authorities if needed. Asking the daughter sets up a potential confrontation that need not be handled by the nurse. The patient should be given a bath, but this is not the first action to be taken. Notifying the health care provider will be appropriate at a later time, but is not the best action to take at this point.
What is true regarding the Alzheimer's Association Safe Return Program? 1 It is funded by famous private organizations. 2 It assists families of dementia patients worldwide. 3 It assists in identifying patients and returning them safely to their family. 4 It provides information to nurses and health care workers by arranging seminars and publications.
3 It assists in identifying patient and retiring them safely to their family The Alzheimer's Association's Safe Return Program consists of a 24-hour hotline that assists in identifying dementia patients and returning them safely to their families. It is for families of dementia patients in the United States and is a national program funded by the U.S. government. It provides information to dementia patients and their families, not nurses and health care workers, by arranging seminars and publications.
Which statement is true regarding polyps? 1 Polyps are malignant. 2 Polyps are symptomatic. 3 Polyps may be hereditary. 4 Tubular adenomas pose a greater cancer risk than villous adenomas.
3 Polyps may be hereditary Polyps may be genetically inherited and characterized by progressive development of colorectal adenomas. Most polyps are benign, although some have the potential to become malignant. Polyps are usually asymptomatic and are discovered during a routine colonoscopy screening. There are two types of adenomas, villous and tubular. Villous adenomas pose a greater cancer risk.
The nurse is teaching the caregiver of a 6-year-old patient who is prone to ear infections how to prevent them. Which caregiver responses require the nurse to intervene? Select all that apply. 1 "I should ask my child to blow the nose gently." 2 "I should wash my child's external ear during bath time." 3 "I should make my child sneeze gently with the mouth is closed." 4 "I should use a cotton swab to clean the ears as gently as I can." 5 "I should tell my child to avoid closing one nostril while blowing the nose."
3,4 The caregiver must teach the child to sneeze gently with the mouth open, not closed. The caregiver must not use cotton-tipped applicators to clean the ear; contaminants on a swab can cause an ear infection. The other statements do not require further teaching. Because the child has ear trauma, the caregiver should tell the child to blow the nose gently. To prevent contamination of the external ear, the caregiver should wash the external part of the ear during the bath. The caregiver should teach the child to blow both nostrils at the same time.
A patient tells a nurse that she finds it difficult to enjoy sexual intercourse. Which psychosocial factors does the nurse recognize that may contribute to this? Select all that apply. 1 Poor nutrition 2 Endometriosis 3 Childhood abuse 4 Cultural Influences 5 History of sexual assault
3,4,5 When a patient voices concerns about not enjoying sex, the nurse may ask her about psychosocial factors including cultural influences, childhood abuse, and a history of sexual assault. Poor nutrition is unlikely to affect the patient's sexual experience. Endometriosis may cause a woman pain during sex, but this is a physical concern, not a psychosocial factor.
The mother of a teenage patient tells a nurse, "The doctor says that my child has gender dysphoria. Can you explain what that means?" What is the appropriate nursing response? 1 "Your child is attracted to the opposite gender." 2 "Your child has an abnormal fear of the opposite gender." 3 "Your child does not self-identify as either male or female." 4 "Your child isn't comfortable with his or her natal sex and identifies as the opposite gender."
4 "Your child isn't comfortable with his or her natal sex and identifies as the opposite gender." Gender dysphoria is discomfort with or an inner conflict between one's natal (birth) sex and perceived gender identity. Gender dysphoria does not mean that the patient has an abnormal fear of the opposite gender or is attracted to the opposite gender. Genderqueer refers to individuals who do not self-identify as male or female.
A patient with Parkinson's disease is being discharged home with his wife. To ensure the success of the management plan, which discharge action is most effective? 1 Telling his wife what the patient needs 2 Setting up visitations by a home health nurse 3 Writing up a detailed plan of care according to standards 4 Involving the patient and his wife in developing a plan of care
4 Involving the patient and his wife in developing a plan of care Involving the patient and spouse in developing a plan of care is the best way to ensure success. Home health nurse visitations are generally helpful, but may not be needed for this patient. Instructing the spouse about the patient's needs and providing the spouse with a written plan of care do not reinforce the spouse's involvement and buy-in with the management plan.
Which condition of an older adult is most likely to lead to negligence by the caregiver? 1 Loneliness 2 Acute illness 3 Poor self-care 4 Physical dependence
4 Physical Dependence When an older adult is physically dependent on a family member, it can cause frustration in the caregiver due to the burden of caring for the older adult; this often leads to negligence by the caregiver. Acute illness, poor self-care, and loneliness may contribute to a caregiver's negligence but are not as burdensome as physical dependency.
A nurse is listening to family members discuss feelings of guilt and anger over a patient's traumatic brain injury. How does the nurse document this type of assessment? 1 Imaging 2 Physical 3 Laboratory 4 Psychosocial
4 Psychosocial Discussing family members' feelings and coping strategies is a part of a psychosocial assessment. Examining the patient's appearance and reflexes are examples of parts of the physical assessment. Blood tests encompass the laboratory assessment. Imaging techniques like computed tomography and magnetic resistance imaging scans comprise the imaging assessment.
Which team's focus is to restore and maintain the patient's function to the greatest extent possible? 1 Doctors team 2 Psychiatric team 3 Psychoanalysis team 4 Rehabilitation team
4 Rehabilitation team A rehabilitation works best when the patient, family, and rehabilitation staff work together as a team. The focus of the rehabilitation team is to restore and maintain the patient's function to the greatest extent possible. Doctors apply the principles and procedures of medicine to prevent, diagnose, and treat patients with illness, disease, and injury and to maintain physical and mental health. Mental health disorders are treated by the psychiatric team and psychoanalysis team.
What is the role of a forensic nurse in the case of intimate partner violence (IPV) for a patient who requires admission to a psychiatric facility? 1 To improve quality of care 2 To facilitate a follow-up treatment plan 3 To admit the patient to a psychiatric facility 4 To encourage the patient "to get away from" a violent relationship
4 To encourage the patient "to get away from" a violent relationship The role of the forensic nurse in cases of intimate partner violence is to encourage the patient to get away from the violent relationship. Improving the quality of care, facilitating a follow-up regimen, and admitting the patient to a psychiatric facility is the role of the psychiatric crisis nursing team.