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PP: RNSG 1538 FAMILY MASTERY QUIZ QUESTIONS WITH COMPLETE ANSWERS
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PP: RNSG 1538 FAMILY MASTERY QUIZ QUESTIONS WITH COMPLETE ANSWERS
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PP: RNSG 1538 FAMILY MASTERY QUIZQUESTIONS WITH COMPLETE
ANSWERS
"Dad has presented many challenges. We have alarms on all the outside doors now.
Respite care gives us a break." - Answer-An elderly client with Alzheimer's disease has
been living with his grown child's family for the past 6 months. He wanders at night and
needs help with activities of daily living. Which statement by his child suggests that the
family is successfully adjusting to this living arrangement?
Communication barriers between the mother and staff - Answer-The nurse is caring for
a child whose mother is deaf and untrusting of staff. She frequently cries at the bedside,
but refuses intervention from social work or the chaplain. Which issue is most important
for the nurse to address with the mother to promote a trusting relationship?
Low-quality support relationships often negatively affect coping in a crisis. - Answer-A
nurse is assessing available support systems for a client in the community mental
health clinic. The client is divorced, has no siblings, and both parents died last year. The
client has contact with once-supportive former in-laws; however, the client describes a
strained relationship since the divorce. With regard to the relationship with the in-laws,
what knowledge does the nurse use to plan care?
Abuse and neglect.
Unhealthy personal boundaries - Answer-The nurse is performing an assessment on a
client with a history of a dysfunctional family. Which findings should the nurse
anticipate? Select all that apply.
The mother looks at the newborn with direct eye contact. - Answer-The nurse brings the
infant to the new mother after obtaining assessment data and performing newborn
interventions. Which of the following behaviors exhibited by the mother demonstrates
that effective bonding is beginning to take place?
"What aspect of caring for your husband is causing you the greatest concern?" -
Answer-A man found wandering in a local park is unable to state who or where he is or
where he lives. He is brought to the emergency department, where his identification is
eventually discovered. The client's wife states that he was diagnosed with Alzheimer's
disease 3 years earlier and has experienced increasing memory loss. She tells a nurse
she is worried about how she'll continue to care for him. Which response by the nurse is
most helpful?
Risk for caregiver role strain related to increased client care needs - Answer-A client
with Alzheimer's disease is admitted for hip surgery after falling and fracturing the right
hip. The client's spouse tells the nurse about feeling guilty for letting the accident
, happen and reports not sleeping well lately because the spouse has been getting up at
night and doing odd things. Which nursing diagnosis is most appropriate for the client's
spouse?
"You should bring your child to the emergency department tonight so the bead can be
removed as soon as possible." - Answer-The father of a 2-year-old phones the
emergency department on a Sunday night and informs the nurse that his son put a bead
in his nose. What is the most appropriate recommendation by the nurse?
Practice deep breathing and muscle relaxation. - Answer-A client is experiencing
considerable stress in a change of role from married to divorced. The client states that
the in-laws blame the client's drinking for the divorce. The client states that, "These
days, a couple of glasses of wine in the evenings helps calm my nerves." What is the
best coping strategy for the nurse to offer the client?
Ensure the comfort and security of the client and meet privately with the family member.
- Answer-After being informed that a client is to be admitted to the hospital for
stabilization of the client's diabetes, the client's son returns to the hospital six hours later
to find that the client remains on a stretcher in the emergency department hallway. He
begins to shout "I will not allow my insurance to pay for your failure to provide care."
What is the best action for the nurse to take in this situation?
The parents will call immediate attention to undesirable behavior. - Answer-Which
desired outcome demonstrates effective parent teaching about disciplining a toddler?
"I understand your concern; you may want to start your daughter on long-acting
contraception." - Answer-The mother of a 17-year-old girl with Down syndrome tells the
nurse that her daughter recently stated that she has a boyfriend. The mother is
concerned that her daughter might become pregnant. Which is the most appropriate
suggestion by the nurse?
Caregiver role strain related to the demands of the child's care - Answer-A home care
nurse is visiting a family with a chronically ill 9-year-old child. Which of the following is a
priority nursing diagnosis when working with a family caring for their chronically ill child
at home?
"Opioids are avoided following a head injury because they may hide a deteriorating
condition." - Answer-19 year old male with mild concussion after slipping in school
parking lot three hours prior. No loss of consciousness. No appreciable neurological
deficits. CT scan normal. Client was preparing for discharge. Now reports a 5/10
headache. Acetaminophen PO ordered.
When offered acetaminophen, the client's mother tells the nurse that she would like her
son to have something stronger. What is the nurse's best response?
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