mmy, a five-year-old child who is physically challenged, is having difficulty walking without help. What should be the nurse’s response to the patient with this condition, keeping in mind the various developmental stages of growth and developments.
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- Timmy, a five-year-old child who is physically challenged is having difficulty walking without help. What should be the nurse’s response to the patient with this condition, keeping in mind the various developmental stages of growth and development.Ken, a five-year-old child who is physically challenged is having difficulty walking without help. What should be the nurse’s response to the patient with this condition, keeping in mind the various developmental stages of growth and 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.
- 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.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.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?
- The nurse is practicing the therapeutic communication technique of broad opening. Which of thefollowing statements by the nurse best demonstrates a correct understanding of this technique?a. “How do you feel when you are arguing with your daughter?”b. “What are you thinking about?”c. “Are you planning on hurting yourself?”d. “You are biting your fingernails. Is something bothering you?”While in a clinical rotation my junior year, I was assignedthe dreaded Jack Camp (I still remember his name). He was a middle-aged single man receiving care for a com-pound fracture of his left lower extremity being treated with an external fixator. He had a bad case of diabetes, and aneven worse sweet tooth. Before I even met him, the nurseson the floor were saying things like “good luck,” whichmade this junior nursing student extra paranoid (althoughI was grateful for the warning). The patient was known for voicing loud complaints about his room, the food, andthe hospital routine. He also was using his call light veryfrequently. The nurses called him names and discussedtheir dislike of him in the nurses’ station, which was in thecenter of the unit.As the day progressed, I found out that all this patientwanted was some attention, because he was used torunning things in his business. I actually found himentertaining. How do you think you would respond in a similar situation?Why? What…How should the nurse treat a patient of Italian descent in order to enhance the possibility of adherence to a medical regimen to improve the patient's condition?
- What counseling points you can provide to the patients as a for crushing’s syndromeA nurse is counseling a 19-year-old male athlete who had hisright leg amputated below the knee following a motorcycleaccident. During the rehabilitation process, the patient refusesto eat or get up to ambulate on his own. He says to the nurse,“What’s the point. My life is over now and I’ll never be thefootball player I dreamed of becoming.” What is the nursecounselor’s best response to this patient?a. “You’re young and have your whole life ahead of you. Youshould focus on your rehabilitation and make something ofyour life.”b. “I understand how you must feel. I wanted to be a famoussinger, but I wasn’t born with the talent to be successfulat it.”c. “You should concentrate on other sports that you couldplay even with a prosthesis.”d. “I understand this is difficult for you. Would you like to talk about it now or would you prefer me to make a refer-ral to someone else?”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?