A community health nurse is working with a family that is struggling to adapt following the loss of a family member. Which of the following actions should the nurse take first?
Encourage the family to assign specific tasks to individual family members.
Assist the family to establish a daily routine.
Refer the family to a grief support group.
Determine the roles of individual family members.
The Correct Answer is D
A. Assigning tasks is important but comes after understanding family dynamics.
B. Establishing a routine is beneficial but should follow assessment.
C. Referring to a support group is valuable but not the immediate first step.
D. Determining family roles helps the nurse assess coping strategies and dynamics, which is essential before planning interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"D","dropdown-group-2":"D"}
Explanation
- Lithium toxicity: The client's lithium level is significantly elevated at 2.5 mEq/L (normal range is 0.6 to 1.2 mEq/L), and symptoms such as blurred vision, increased urine output, and clonic jerking of the upper extremities are indicative of lithium toxicity2.
- Seizure activity: Lithium toxicity can lead to neurological symptoms, including seizures, which require close monitoring
Correct Answer is B
Explanation
A. Violating others' rights is more characteristic of antisocial personality disorder.
B. Self-centered behavior is a hallmark of histrionic personality disorder. Clients often seek attention, exhibit excessive emotionality, and display dramatic, exaggerated behaviors.
C. Callousness is also seen in antisocial personality disorder rather than histrionic.
D. Suspiciousness is typical of paranoid personality disorder, not histrionic.
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