A patient describes her spouse's dependence on oxycodone ...

[anjilletteb]

A patient describes her spouse's dependence on oxycodone terephthalate (Percocet), which began following knee surgery last year. Although the prescription was finished some time ago, the spouse continues to obtain and take Percocet.
 
  Because of the spouse's need for the medication, the patient has to do all the yard work, child care, and meal preparation. How would the nurse describe the patient's behavior?
  A.
  Enabler
  B.
  Impaired caregiver
  C.
  Inadequate dyad partner
  D.
  Overstressed parent

Question 2

A mother brings her 8-year-old daughter to the clinic for the third time in 2 months. The mother states that her daughter is very active and often falls down. The mother states that her daughter eats well, but the child's weight falls below the 10th perce
 
  The clinic record shows the child had multiple bruises on her arms at the time of the last two visits. Today the nurse notes that the child has areas of ecchymosis on her left leg and ankle. Which action by the nurse is best?
  A.
  Ask the child and her mother again about the child's bruises.
  B.
  Question the child about her accident-prone behaviors.
  C.
  Speak with the child alone, asking if she feels safe at home.
  D.
  Teach the mother to keep a diary of what her child is eating.

[SomethingSomething]

Answer to Question 1

ANS: A
An enabler is a common role in families with addictions. The enabler makes excuses for the addicted person's behavior. The patient's behavior allows the spouse to continue with the addiction without being held accountable.

Answer to Question 2

ANS: C
This child's presentation is suspicious. If child abuse is suspected, the nurse should question the child privately. In all situations the nurse is legally obligated to report the abuse to the proper investigating agency.

[anjilletteb]

Excellent

[kilada]

TYSM