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- 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.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?Communication: Therapeutic/Nontherapeutic Video scenario Catherine: Hello Ron:hi Catherine:My name is catherine, and i'll be asking you some questions.could you please tell me your name and your date of birth? Ron: Yes, Ron Toledo. september 14th, 1958. Catherine: All right, Mr. toledo. Are we felling any better now? Ron: No, I i still think I'm having a nervous breakdown. I just can't get over loosing my job, and since my mother died, I just don't have anyone. I mean, she did everything for me. I just don't think i can do this. Catherine: And what exactly makes you say that? Ron: I just told you! she did everything for me! Catherine : Dont worry. Things will get better soon. I know exactly how you feel. I felt the same when i lost my father.Perhaps you should just focus on something else to get off your mind. Question: What nontherapeutic communication styles did the nurse use in this scenario? What therapeutic communication styles could the nurse have used instead? In your response,…
- The postpartum patient states, "I feel so let down and sad, I don't know what to do." The appropriate nursing response is: a. Tell her to be happy to have a new baby b. Offer empathy and support c. After referral to a psychiatrist d. Tell her to call doctor for medicationsDiscuss the nursing management for a woman experiencing a miscarriage.Discuss the nursing management of a patient after colostomy?
- Identify and discuss ways in which thegender of the physician and the gender ofthe patient influence patient care.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 nurse writing a post-surgical client's plan of care has included ambulation several times daily. What is the best rationale for this intervention?
- 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?Shirley Smith Age: 52Race: CaucasianGender: FemaleHeight: 68 inchesWeight: 153 lb. (69.4 kg) Occupation: Retired Marital Status: Widowed Religion: AgnosticAllergies: None knownAddress: Assisted Living facilityImmunizations: Up to date HistoryShirley's husband died unexpectedly 2 months ago, which is the time she enteredan assisted living facility. Shirley states she has become depressed from the lossof her husband and the inability to physically do activities she desires due to theCOPD.Shirley presents to the ER with difficulty breathing and shortness of breath atrest, and increased fatigue. The patient is currently on 2 Liters of oxygen nasalcanula at all times. Shirley smoked cigarettes for 32 years and just recently quit 2months ago when she was put on full-time oxygen.Past medical history: hysterectomy at the age of 48, Gastroesophageal refluxdisease (GERD), and Atrial Fibrillation. MedicationsPrednisone (HOLD) 20 mg oral DailyPantoprazole 40 mg oral DailyWarfarin 5 mg oral…Shirley Smith Age: 52Race: CaucasianGender: FemaleHeight: 68 inchesWeight: 153 lb. (69.4 kg) Occupation: Retired Marital Status: Widowed Religion: AgnosticAllergies: None knownAddress: Assisted Living facilityImmunizations: Up to date HistoryShirley's husband died unexpectedly 2 months ago, which is the time she enteredan assisted living facility. Shirley states she has become depressed from the lossof her husband and the inability to physically do activities she desires due to theCOPD.Shirley presents to the ER with difficulty breathing and shortness of breath atrest, and increased fatigue. The patient is currently on 2 Liters of oxygen nasalcanula at all times. Shirley smoked cigarettes for 32 years and just recently quit 2months ago when she was put on full-time oxygen.Past medical history: hysterectomy at the age of 48, Gastroesophageal refluxdisease (GERD), and Atrial Fibrillation. MedicationsPrednisone (HOLD) 20 mg oral DailyPantoprazole 40 mg oral DailyWarfarin 5 mg oral…