Family Centered Approach to Nursing Care

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You are caring for a multiple trauma client who has just arrived at the emergency room with a number of other external disaster victims. This client has multiple blast injuries and hypovolemic shock; it is anticipated that this unstable critically injured and unconscious client will have long term intravenous therapy, blood products and possibly hyperalimentation as well. Which type of venous access would you most likely anticipate for this client?

  • A. A percutaneous, non tunneled subclavian catheter
  • B. A peripheral intravenous catheter that is 20 gauge
  • C. A multi lumen implanted tunneled and cuffed central venous catheter
  • D. A peripherally inserted central venous catheter
Correct Answer: C

Rationale: A tunneled multi-lumen catheter (C) suits long-term critical needs.

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Which of the following questions is taken from the 'Treatment' component of the ETHNIC acronym?

  • A. Do you know anyone else who has had the symptoms you are experiencing?
  • B. Is there anything you eat, drink, or do on a regular basis to stay healthy?
  • C. Have you sought advice from an alternative medicine practitioner?
  • D. What are the most important results you hope to achieve by using this treatment?
Correct Answer: D

Rationale: This question aligns with the Treatment component, focusing on patient goals.

hich term describes the inner conversation that accompanies thinking?

  • A. transacting
  • B. Looking glass self
  • C. language
  • D. minding
Correct Answer: C

Rationale: Language facilitates the inner dialogue of thought, per cognitive psychology.

Fun is the child's word for sensory integration:

  • A. Communicative
  • B. Sensory
  • C. Sensitive
  • D. Cognitive
Correct Answer: B

Rationale: Ayres described fun as a child's experience of sensory integration through play.

Suspicion of which of the following behaviors may affect pain management plans, especially for patients with sickle cell disease?

  • A. Spousal abuse
  • B. Heavy smoking
  • C. Recreational drug abuse
  • D. Narcotic dependence
Correct Answer: D

Rationale: Narcotic dependence concerns may lead to underprescribing pain relief.

Select the client religion that is the most pertinent to the role of the admissions coordinator of hospital who assigns the rooms and beds of clients who will be admitted.

  • A. Hinduism
  • B. Buddhism
  • C. Islam
  • D. Mormonism
Correct Answer: C

Rationale: Islam (C) may require gender-specific room assignments.

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