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- You are providing the immediate preoperative care for a womanscheduled for surgery to remove a brain tumor. She tells you shedoes not want the surgery because she knows she is dying andjust wants to go home to be with her husband and children. Shealso knows that her husband cannot accept the fact that she is dying and wants her to have the surgery. What do you do?A mother of a 10-year-old daughter tells the nurse: “I feelincompetent as a parent and don’t know how to discipline mydaughter.” What should be the nurse’s first intervention whencounseling this patient?a. Recommend that she discipline her daughter more strictlyand consistently.b. Make a list of things her husband can do to give her moretime and help her improve her parenting skills.c. Assist the mother to identify both what she believes ispreventing her success and what she can do to improve.d. Explore with the mother what the daughter can do toimprove her behavior and make the mother’s role as aparent easier.A visiting nurse is performing a family assessment of ayoung couple caring for their newborn who was diagnosedwith cerebral palsy. The nurse notes that the mother’s hairand clothing are unkempt, the house is untidy, and themother states that she is “so busy with the baby that I don’thave time to do anything else.” What would be the priorityintervention for this family?a. Arrange to have the infant removed from the home.b. Inform other members of the family of the situation. c. Increase the number of visits by the visiting nurse.d. Notify the care provider and recommend respite care forthe mother.
- Which of the previous associations you are planning to join in your future care and why?You know a patient is uncomfortable about undergoing a pel-vic examination, and you ask the male physician to wait for you before he begins the examination. He tells you he can’t wait and doesn’t need your assistance. You know the patientwants another woman in the room. How would you respond,and what is at stake? Does it matter if the reason for thepatient’s request to have you present is simply preference,is linked to a history of abuse, or is related to her culturalor religious beliefs?A young Hispanic mother comes to the local clinic becauseher baby is sick. She speaks only Spanish and the nursespeaks only English. What should the nurse do?a. Use short words and talk more loudlyb. Ask an interpreter for helpc. Explain why care can’t be providedd. Provide instructions in writing
- The nurse understands that when the terminal patient states, "No, I don't need anything. What would you get me anyway?"he or she is most likely in the stage of grief called?A nurse asks a 25-year-old patient to make a list of 20 wordsthat describe him. After 15 minutes, the patient listed thefollowing: 25 years old, male, named Joe; then declared hecouldn’t think of anything else. The nurse documents that thepatient has demonstrated:a. Lack of self-esteemb. Deficient self-knowledgec. Unrealistic self-expectationd. Inability to evaluate himselfA nurse is counseling a husband and wife who have decidedthat the wife will get a job so that the husband can go topharmacy school, as he has wanted to do for some time. Theirthree teenagers, who were involved in the decision, are alsogetting jobs to buy their own clothes. The husband plans towork 12 to 16 hours weekly and states, “I was always an Astudent, but I may have to settle for Bs now because I don’twant to neglect my family, and I need to work a few hours sothat my wife won’t have to work overtime.” How would thenurse document the husband’s self-expectations?a. Realistic and positively motivating his developmentb. Unrealistic and negatively motivating his developmentc. Unrealistic but positively motivating his developmentd. Realistic but negatively motivating his development
- What should be the nurse’s response to the patient with this condition, keeping in mind the various developmental stages of growth and development. Andy, a five-year-old child who is physically challenged is having difficulty walking without help.Mary is a resident in a refuge for women and children. Her husband has threatened her life and the life of her son and she has been granted a violence restraining order. Her 10-year-old son, Frederick, is very angry about being separated from his father. Frederick approaches Beryl, a new part time refuge worker. He confides in her how much he misses his father and how desperately he wants to see him, or even just talk to him. He persuades Beryl to let him use the phone in the office to contact his father. Beryl agrees as long as she remains in the office with him. Frederick blurts out the address of the refuge before Beryl can stop him. She realises she will be in trouble from her supervisor, so she doesn’t say anything to her. Later that night Jason, Frederick’s father, arrives at the refuge and attempts to break in. When Jason is questioned by the police, he tells them that Beryl let Frederick call him and tell him the address. Beryl faces a severe reprimand from her supervisor.…