A nurse is assessing the impact of stressors on a family. Which of the following should indicate to the nurse there has been a change in family system?
A young adult develops a close, personal relationship.
A young adult focuses on their career.
A middle adult assumes their parent's responsibilities.
A middle adult experiences physical changes.
The Correct Answer is C
A. Developing close personal relationships is a common aspect of adult life and may not necessarily indicate a change in the family system.
B. Focusing on a career is a common aspect of adult life and may not necessarily indicate a change in the family system.
C. Assuming the responsibilities of a parent can indicate a shift in family dynamics, such as when a child becomes a caregiver for an aging parent.
D. Experiencing physical changes is a normal part of aging but may not necessarily indicate a change in the family system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Providing a night light can help the client navigate their surroundings safely during the night and reduce the risk of falls.
B. Elevating full-length side rails can be a restraint and increase the risk of injury if the client attempts to climb over them.
C. Placing the bedside table too far away may make it difficult for the client to reach necessary items, increasing the risk of falls.
D. Maintaining a specific room temperature is not directly related to fall prevention unless extreme temperatures are present.
Correct Answer is B
Explanation
A. Informing the provider that the PCA is not providing adequate pain relief is not accurate in this scenario because the client rates their pain as 2, indicating that they are experiencing minimal discomfort.
B. Asking the provider for a prescription to decrease the continuous rate is appropriate since the client has not needed to deliver any bolus doses for over 2 hours, suggesting that the current continuous rate may be higher than necessary for their pain level. Adjusting the PCA settings can help to prevent potential over-medication and side effects while maintaining adequate pain control.
C. Instructing the client to push the button more frequently is unnecessary as the client is already reporting low pain levels and has not expressed a need for additional medication.
D. Allowing the caregiver to push the PCA button when the client is resting is not recommended because PCA systems are designed for patient-controlled analgesia, ensuring that the patient manages their own pain without risking over-medication.
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