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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Occupational therapists primarily focus on helping clients regain independence in activities of daily living and may not directly address swallowing difficulties.
B. Physical therapists primarily focus on mobility, strength, and balance training and may not directly address swallowing difficulties.
C. Speech-language pathologists specialize in evaluating and treating communication and swallowing disorders, including dysphagia (difficulty swallowing), which is common after a stroke.
D. Social workers primarily address psychosocial issues and may not have the expertise to directly address swallowing difficulties.
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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