Answer to Question 1
D
The nurse begins the family assessment by determining issues that are pertinent to the client's well-being. During the assessment the nurse, client, and family collaboratively engage in con-versation to systematically collect information and reflect on the issues important to the client's well-being.
Gathering health data from the family members is not the starting point for a family assessment.
Testing a family's ability to cope is not where the nurse should begin a family assessment.
Evaluating communication barriers would not be an initial action of the nurse when completing a client's family assessment.
Answer to Question 2
A
Feedback
A Restraining a violent client is an example of a life-saving measure to protect the client. The purpose of a life-saving measure is to restore physiological or psychological equilibrium.
B Administering analgesics is an example of a physical care technique. It is not a life-saving measure.
C Initiating stress-reduction therapy is an example of a counselling technique.
D Teaching the client how to take his or her pulse is an example of the nursing intervention of teaching. The focus is for the client to obtain new knowledge or psychomotor skills.
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Example of simplified note for one-time client.
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