Author Question: A graduate nurse is working for a diabetes unit. The nurse manager has prepared a very thorough ... (Read 49 times)

codyclark · **on:** Jul 22, 2018

A graduate nurse is working for a diabetes unit. The nurse manager has prepared a very thorough orientation, which includes check-offs for taking vital signs.

The nurse manager has informed the graduate nurse that their hospital has adopted the Joint Commission's pain standard and that they will be assessing five vital signs. The graduate nurse knows that the fifth vital sign is which of the following? a. Arterial blood gasses
b. Blood sugar
c. Blood pressure
d. Pain

Question 2

A student nurse is caring for a 4-year-old patient who has been admitted to the pediatric unit with acute asthma. As the student nurse admits the patient, he learns that both parents smoke in the home.

The nurse plans to discuss with the parents the implications of smoking around the patient and to provide them with information on smoking cessation. This is an example of what approach to family nursing? a. Family as context
b. Family as patient
c. Family as system
d. Family as a stagnated group

helenmarkerine · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
National and international organizations have made efforts to correct this problem. The Joint Commission (2013) has a pain standard for health care workers to assess all patients for pain on a regular basis. Many health care institutions have adopted this standard by recommending that pain be assessed as the fifth vital sign.

Answer to Question 2

A
When you view the family as context, your primary focus is on the health and development of an individual member existing within a specific environment (i.e., the patient). Although you focus the nursing process on the individual's health status, you will also assess the extent to which the family provides the individual's basic needs. When you view the family as patient, the family processes and relationships (e.g., parenting or family caregiving) are your primary focus of care. When you care for the family as a system, you are caring for each family member (family as context) and the family unit (family as patient), using all community, social, and psychosocial resources. Families are continually changing. As a result, the need for family support changes over time, and it is important for you to understand that the family is more complex than simply a combination of individual members.