The physician visits and writes new orders for a nursing home ...

[jwb375]

The physician visits and writes new orders for a nursing home resident.
 
  In addition to
  antihypertensive medication orders, the nurse finds the following: (1) 2-g sodium diet, (2) restraint
  as needed, (3) fluids to 2000 mL daily, (4) milk of magnesia 30 mL orally once if no bowel
  movement for 3 days. The nurse should
  a. transcribe the orders as written.
  b. question the order for restraint.
  c. question the fluid order.
  d. question the milk of magnesia order.

Question 2

Bowen's approach to family therapy focuses on differentiation of members. A therapist using this
  approach would negotiate with the family to arrive at the outcome criteria. The family will
 
  a. restructure dysfunctional triangles.
  b. use straight messages without manipulation.
  c. achieve greater individuation of members.
  d. assess itself in terms of life cycle stage and multicultural issues.

[dellikani2015]

Answer to Question 1

B
Restraints may be imposed only on the written order of the physician that specifies the duration
during which the restraints can be used. Joint Commission on Accreditation of Healthcare
Organizations guidelines and Omnibus Budget Reconciliation Act regulations also mandate a
number of other conditions that must be considered and documented before restraints are used. The
other orders would be considered appropriate for implementation.

Answer to Question 2

C
The identification of poor differentiation of family members calls for a goal of greater
differentiation, that is, members developing a greater sense of individual selves. Differentiation does
not relate directly to triangulating, improving the clarity of communication, or looking at family life
cycles.

[jwb375]

TYSM

[alexanderhamilton]

Excellent