TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 7TH EDITION BY POTTER
Chapter 32: Home Care Safety Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition MULTIPLE CHOICE 1. The nurse is working with a client on the plan of care. Which client behavior does the nurse
recognize as most illustrative that the client will cooperate with a plan of care? a. Willingness to attempt a return demonstration b. Refusal to talk about the needed assistive device c. States that a few days of rest are all that is needed for recovery d. States the equipment is too complex to learn ANS: A
The client who is willing to perform a return demonstration for the nurse is demonstrating a health-seeking behavior; thus the nurse plans interventions to facilitate client motivation and drive to master the task. The client who refuses to talk about the equipment is angry or in denial. The client who states that resting will solve the problem is in denial. The client who states the task is too difficult has a poor self-image and can benefit from slow, steady teaching and encouragement. DIF: Cognitive Level: Understanding TOP: Nursing Process: Assessment
OBJ: NCLEX: Safe and Effective Care Environment
2. The nurse plans discharge teaching for several clients. Which client and family are most likely
to benefit from the nurse’s teaching plan? a. The client’s oxygen saturation ranges from 88% to 90%. N b. Client is 2 days postoperative after emergency amputation. c. The family lacks financial resources for supplies and equipment. d. The family agrees to the therapeutic diet and exercise plan. ANS: D
The family that agrees to the therapeutic diet and exercise plan is most likely to benefit from the nurse’s teaching plan because the members are enthusiastic and positive, providing motivation and energy to succeed. They are willing to change their behavior when change is required. The hypoxic client will most likely have difficulty following directions and retaining information while struggling for oxygen. The client who had an emergency amputation is not ready for discharge because it is unlikely that the client received enough physical therapy; in addition, the client most likely had significant blood loss and could still be unstable. The client and family lacking financial resources for home health care need community resources before the teaching plan can be implemented. DIF: Cognitive Level: Understanding TOP: Nursing Process: Assessment
OBJ: NCLEX: Safe and Effective Care Environment
3. The nurse finishes discharge teaching for the client after a home assessment. Which action by
the client requires follow-up information from the home care nurse? a. Stores a flashlight next to the bed. b. Checks batteries in the smoke detector. c. Stores the area rugs in the basement. d. Leaves a loaded gun in the nightstand.
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