Author Question: You are a nurse working in a community hospital emergency department. A 19-year-old female is ... (Read 74 times)

HudsonKB16 · **on:** Jul 19, 2018

You are a nurse working in a community hospital emergency department.

A 19-year-old female is brought in to the ED with a fractured jaw and pelvis, sustained when the car she was driving was rear-ended by another vehicle going 10 mph as she sat at a red light. You become concerned that this client may engage in either anorexic or bulimic behaviors, because uncontrolled engagement in these behaviors over time: a. often results in osteoporosis
b. is associated with increased suicidal behavior
c. will alter this client's response to narcotic analgesics
d. interferes with the person's ability to safely operate a motor vehicle

Question 2

A nurse makes a home visit to a couple who just had their first baby. The mother tells the nurse how difficult it has been to adjust to caring for the baby and to go to work after loss of sleep. She asks the nurse how to resolve her problem.

Her husband listens attentively, but says nothing. Which intervention is directed at improving communication for this couple? a. Ask the mother to speak directly to her spouse.
b. Tell the father he should help the mother more.
c. Ask the mother if she has other sources of support.
d. Tell the couple they are not communicating well.

jaykayy05 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A
Uncontrolled bulimic and anorexic behaviors can result in early onset osteoporosis. A lack of nutrients consumed in food results in a weakening in the bone structure. Additionally, bradycardia is almost always seen in people who are anorexic, due to both starvation and excessive exercise. Fractures in young women, especially after relatively minor trauma, is cause for suspicion of anorexia and bulimia.

Answer to Question 2

A
The most appropriate intervention for improving communication between the couple is to ask the mother to speak directly to the spouse. The mother should be instructed to explicitly ask for the assistance she needs from her spouse. Making specific requests for assistance to her spouse will more likely get her needs met than simply expressing her distresses and hoping that her spouse can guess what he needs to do.