Which nursing assessment would indicate that the patient is ...

[iveyjurea]

Which nursing assessment would indicate that the patient is performing diaphragmatic breathing correctly?
 
  a. Hands placed on border of rib cage with fingers extended will touch as chest wall contracts.
  b. Hands placed on chest wall with fingers extended will separate as chest wall contracts.
  c. The patient will feel upward movement of the diaphragm during inspiration.
  d. The patient will feel downward movement of the diaphragm during expiration.

Question 2

The nurse is caring for an elderly patient who has no apparent family. When questioned about his family and his definition of family, the patient states, I have no family. They're all gone.
 
   When asked, Who prepares your meals? he states, I do, or I go out. Given the three different approaches to family nursing practice, which would be most appropriate for this patient? a. Family as context
  b. Family as patient
  c. Family as system
  d. Combination of family as context and family as patient

[mcni194]

Answer to Question 1

A
Positioning the hands along the borders of the rib cage allows the patient to feel movement of the chest and abdomen as the diaphragm descends and the lungs expand. As the patient takes a deep breath and slowly exhales, the middle fingers will touch while the chest wall contracts. The fingers will separate as the chest wall expands. The patient will feel normal downward movement of the diaphragm during inspiration and normal upward movement during expiration.

Answer to Question 2

A
If only one family member receives nursing care, it is realistic and practical to view the family as context. Although family nursing is based on the assumption that all people regardless of age are a member of some type of family form, the patient insists that he has no family. The nurse should investigate further. However, at this time, family as patient, as system, or in a combination is not appropriate.