A mother from a Native American family comes to the hospital in ...

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A mother from a Native American family comes to the hospital in early labor at 24 weeks gestation. The mother's parents, sisters, and brothers are with her as well as her husband.
 
  The family insists on remaining with the mother during labor even though the hospital policy limits visitors to 2. Which action is appropriate for the nurse to take? 1. Show the family to the waiting room
   2. Speak with the manager about supporting the family wishes
   3. Ask the parents of the baby what their needs are regarding the family request
   4. Call security to escort the family out of the hospital

Question 2

A client admitted with an eating disorder tells the nurse, No matter what I do, I continue to be fat.. The nursing diagnosis that is appropriate for the client at this time is:
 
  1. Ineffective Coping.
   2. Disturbed Body Image.
   3. Deficient Knowledge.
   4. Impaired Tissue Integrity.

[rnehls]

Answer to Question 1

3. Ask the parents of the baby what their needs are regarding the family request

Rationale:
The mother and the baby's father may be acculturated to contemporary American life enough that they might not want the extended family in attendance even though they know this is traditional. Before confronting the family by asking them to leave or calling security, the parents of the baby are consulted first. If the parents agree to the extra visitors, then seeking the assistance of the manager is inappropriate.

Answer to Question 2

2. Disturbed Body Image

Rationale:
The nursing diagnosis to support this client's needs would be disturbed body image. There is not enough information to determine whether the client does or does not have ineffective coping or deficient knowledge. The nurse is unable to determine whether the client has impaired tissue integrity based upon the client's information.

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TYSM

[ttt030911]

Excellent