Author Question: The nurse has completed a family assessment and is planning care for a newly blended family. The ... (Read 112 times)

KWilfred · **on:** Jun 25, 2018

The nurse has completed a family assessment and is planning care for a newly blended family. The children are having trouble adapting to the new situation. Which is the primary goal for this family?

A) Improve family situations.
B) Work with other families.
C) Practice life skills.
D) Self-evaluate.

Question 2

An older adult client receiving pain medication for abdominal discomfort reports no relief of pain and continues to describe multiple somatic complaints. Which action by the nurse is appropriate?

A) Assessing the client for depression
B) Obtaining an order for different pain medication
C) Contacting the family to talk to the client
D) Reviewing of the client's lab values

carlsona147 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

The primary nursing goal for this family is to improve family situations. The nurse listens to all family members, acknowledges their difficulties, and affirms the strengths and resources they bring to the situation. Self-evaluation, practicing life skills, and working with other families may be included, but they are not the primary goal.

Answer to Question 2

Answer: A

Major clues to depression in the older adult include multiple somatic complaints and reports of persistent chronic pain and some vague pain. Many older people have more physical than emotional complaints. Therefore, further assessment for depression is warranted. The lab values are not indicated in this case, and obtaining different pain medication would not treat potential psychological problems. The family may also be ineffective in determining the client's psychological need.