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 C
Explanation
A. The number of sponges used during surgery is important but does not provide as much relevant information for postoperative care.
B. The intubation status is relevant to the immediate perioperative period, but the primary concern in hand-off is the current postoperative condition.
C. Estimated blood loss is an important clinical detail to convey during hand-off, as it may impact the client's recovery and need for monitoring.
D. The client’s position or professional role (e.g., being a board member) is not relevant to the care plan and should not be included in the hand-off report.
Correct Answer is A
Explanation
A. Increased pain: Naloxone is an opioid antagonist and will reverse the analgesic effects of the opioid, likely leading to increased pain in the client.
B. Hyperglycemia: Incorrect. Naloxone does not typically cause changes in glucose metabolism.
C. Hypoventilation: Incorrect. Naloxone reverses respiratory depression, so hypoventilation is not expected after its administration.
D. Somnolence: Incorrect. Naloxone should reverse somnolence caused by opioids, leading to more alertness.
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