In an outpatient psychiatric clinic, parents of a teenager r…
In an outpatient psychiatric clinic, parents of a teenager recently diagnosed with a serious mental illness (SMI) express dismay. One parent says:”Our child acts so strangely that we don’t invite friends to our home. We quit taking vacations. Sometimes we don’t get any sleep.”Which nursing diagnosis best applies?
Read DetailsIn a family therapy clinic, the nurse is assessing the dynam…
In a family therapy clinic, the nurse is assessing the dynamics of a household. A 16-year-old wants to drive, but the parents will not allow it. A 14-year-old sibling has been invited to several sleepovers, but the parents refuse permission. Both teens are frustrated because their parents choose clothing that is more suitable for younger children. The parents state: “We don’t want our kids to grow up too fast.”Which term best describes this family’s boundaries?
Read DetailsOn a medical-surgical unit, a client who recently emigrated…
On a medical-surgical unit, a client who recently emigrated from India is hospitalized. The client and family report that they use Ayurvedic medicine as part of their daily health practices. The nurse wants to adjust the plan of care to make it more comfortable and familiar for the client.Which changes from usual Western practice should the nurse consider? (Select all that apply.)
Read DetailsA woman has just been informed that her husband died in the…
A woman has just been informed that her husband died in the hospital. She approaches the nurse who cared for him during his final hours and angrily states:”If you had given him your undivided attention, he would still be alive.”Which analysis best applies to this situation?
Read DetailsA client with schizophrenia is pacing the hallway, yelling t…
A client with schizophrenia is pacing the hallway, yelling threats, and clenching fists. Despite multiple attempts at verbal de-escalation, the client’s aggression continues to escalate, and other clients are becoming fearful. The provider has written several PRN medication orders for agitation. Which medication should the nurse administer to provide immediate intervention?
Read DetailsAn adult client has a history of physically assaulting famil…
An adult client has a history of physically assaulting family members when frustrated, followed by periods of remorse after each outburst. A care plan has been developed to address anger management and safety concerns.Which finding would indicate that the plan of care has been successful?
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