During a home health visit, a nurse is assessing an older ad…

During a home health visit, a nurse is assessing an older adult with Lewy body dementia who lives with family. The nurse observes multiple bruises. When asked, the daughter becomes defensive and states:”My mother often wanders at night. Last night she fell down the stairs.”Which nursing diagnosis has priority?

An adult client has a history of physically assaulting famil…

An adult client has a history of physically assaulting family members when frustrated, followed by periods of remorse after each outburst. A care plan has been developed to address anger management and safety concerns.Which finding would indicate that the plan of care has been successful?

On an inpatient psychiatric unit, a nurse is facilitating a…

On an inpatient psychiatric unit, a nurse is facilitating a therapeutic group session. One group member consistently praises others for sharing their thoughts and encourages participation. Another member ensures that everyone has an opportunity to speak by redirecting the conversation when one person dominates the discussion.The nurse recognizes these behaviors as examples of which maintenance roles in group dynamics?

In an outpatient psychiatric clinic, the parents of a teenag…

In an outpatient psychiatric clinic, the parents of a teenager newly diagnosed with serious mental illness tell the nurse:”We have never known anyone who was mentally ill. We have no one to talk to because none of our friends understand the problems we are facing.”What is the nurse’s most helpful intervention?