Homework Clinic
Hands-on Clinic => Nursing and Clinical => Topic started by: codyclark on Jul 8, 2018
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A man had been in an extended-care facility for five weeks and was now home. His wife tells the nurse, He's trying to take up where he left off but we've adapted to not having him home.
He keeps thinking things will be just as they were when he left, but they aren't. Which of the following would be the most appropriate response by the nurse?
a.
Are the changes making him uncomfortable or are the rest of you uncomfortable?
b.
Do you want me to talk to him and try to explain?
c.
How can we make things as they were before he left?
d.
You all adapted to running the house without him; it will be challenging now to adapt back.
Question 2
A male nurse is enjoying a very hot summer day at the zoo when he notices a family approaching. An elderly member of the family is moving very slowly and being scolded by another adult, saying You are not sick. Let's keep moving.
The nurse touches the elderly adult who has a flushed face and notices clammy and moist skin. What should the nurse say to the adult?
a.
I'm a nurse, and your family member needs to go to the emergency department right now.
b.
I'm a nurse, and your family member has heat stroke. I'm calling 911.
c.
Take your family member to the air-conditioned restaurant, and have him drink a cold soda immediately.
d.
Take your family member to the air-conditioned restaurant, and let your family rest for a while.
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Answer to Question 1
ANS: D
Family functional assessment, or how family members behave toward one another, is divided into two categories. The first is instrumental functioning, which refers to routine activities of daily living. This area takes on important meaning for the family when one member of the family becomes ill or disabled and changes were made. When the family member is better, the family must again adapt to changes, even if the change is to return to the original mode of functioning. It will help the family to be able to recognize the problem; labeling it makes it more manageable.
Answer to Question 2
ANS: D
There is not enough evidence to be quite sure what is wrong with the elderly adult, but clearly the elderly person is suffering from being in the hot sun for a period of time. The elderly adultand probably the rest of the family as wellneeds to be moved to a cooler environment and be made to lie down and rest. Drinking chilled water (not soda with caffeine) would also be helpful. In that cooler environment, the nurse can assess the situation to determine whether further action should be taken.