A nurse is assessing the impact of stressors on a family. Which of the following should indicate to the nurse there has been a change in family system?

A middle adult experiences physical changes.

A young adult develops a close, personal relationship

A young adult focuses on their career.

A middle adult assumes their parent's responsibilities.

Answer and Explanation

The Correct Answer is D

A. A middle adult experiences physical changes: While physical changes are a normal part of aging, they do not necessarily indicate a change in the family system. Stressors affecting the family dynamic are more evident in relational shifts or roles.

B. A young adult develops a close, personal relationship: This is a developmental milestone for a young adult and does not suggest a change in the family system. Relationships are important, but this behavior is not typically a sign of stressors impacting the family structure.

C. A young adult focuses on their career: Career development is a normal developmental task for a young adult and may not indicate a change in the family system. It is a personal growth milestone rather than a response to family stress.

D. A middle adult assumes their parent's responsibilities: This behavior, known as the "sandwich generation" phenomenon, occurs when a middle adult takes on caregiving roles for aging parents while possibly still caring for their own children. This shift in roles is a significant indicator of stressors affecting the family system.

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Correct Answer is B

Explanation

A. "You should use woolen blankets on your bed": Woolen blankets are highly flammable and pose a fire risk when oxygen is in use. Clients should avoid using woolen or synthetic materials near oxygen tanks and instead use materials that are less likely to catch fire.

B. "You should purchase a fire extinguisher for your home": Oxygen is highly flammable, and having a fire extinguisher readily available in the home is crucial for safety. The nurse should encourage the client to keep a fire extinguisher nearby in case of any oxygen-related fire emergencies.

C. "You will no longer be able to use an electric razor": Electric razors are safe to use while on oxygen therapy, as they are not typically a fire hazard. However, clients should avoid using razors that require flammable substances, such as shaving cream, around oxygen.

D. "Family members who smoke must do so at least 6 feet away from the oxygen tank": Smoking near oxygen tanks is extremely dangerous, and family members should avoid smoking entirely in areas where oxygen is in use. It is important to maintain a safe distance of at least 10 feet or more from oxygen sources when smoking.

A. Stroking the lower abdomen B. Pouring warm water over the perineum C. Performing Kegel exercises prior to urination D. Leaning backward when sitting and attempting to urinate

Correct Answer is B

Explanation

A. Stroking the lower abdomen: While this may sometimes stimulate the bladder, it is not the most effective technique for promoting urination. Techniques such as using warm water are more commonly recommended for stimulating urination.

B. Pouring warm water over the perineum: Pouring warm water over the perineum can help relax the pelvic muscles and stimulate the urge to urinate. This method is often used to assist with the initiation of urination, especially after catheter removal.

C. Performing Kegel exercises prior to urination: Kegel exercises strengthen the pelvic floor muscles and can improve urinary control over time, but they are not effective for immediately stimulating urination, especially in the postoperative period.

D. Leaning backward when sitting and attempting to urinate: Leaning backward may make it more difficult to urinate as it puts pressure on the bladder. The best position for urination is sitting upright with the feet flat on the floor, which allows relaxation of the pelvic muscles.

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A nurse is assessing the impact of stressors on a family. Which of the following should indicate to the nurse there has been a change in family system?

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