Author Question: A client tells the nurse that she often feels pressure from her family to spend every Sunday with ... (Read 48 times)

CBme · **on:** Jul 22, 2018

A client tells the nurse that she often feels pressure from her family to spend every Sunday with them. However, her husband does not want to participate and stays at home waiting for her to return.

The nurse realizes this client's self-concept is being determined by: 1. Stressors.
2. Resources.
3. History of successes and failures.
4. Family and culture.

Question 2

The nurse is teaching a client who will be discharged on a new blood pressure medication. In order to help the client prevent a fall injury at home, the nurse plans to teach the client to:

1. Rise slowly when moving from sitting to standing.
2. Provide a bedside commode.
3. Monitor activity tolerance.
4. Encourage appropriate lighting.

bitingbit · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4. Family and culture.

Rationale:
The client is conflicted because her family has one set of expectations and her husband has another. This will adversely affect the client's self-concept. Stressors are those events that either cause a person to become stronger or respond in a maladaptive way. Resources can be internal or external. Internal resources are confidence and values; external resources include a support network, finances, and organizations. A history of successes and failures can impact self-concept. People with a history of failures will tend to see themselves as failures and view life in a negative way. Those with a history of successes will often have a positive self-concept and view life as successful.

Answer to Question 2

1. Rise slowly when moving from sitting to standing.

Rationale:
Blood pressure medications can cause orthostatic hypotension, which is dizziness upon rising that can lead to falls. The nurse instructs the client to rise slowly and stand in place for a few seconds until balance is assured. Providing a bedside commode would be appropriate for the client with urinary urgency. Clients with respiratory difficulties or heart ailments would want to monitor their activity tolerance levels. Appropriate lighting would help the client experiencing impaired vision.