A patient has been readmitted to the hospital, and the admitting nurse discovers that the patient did not follow through with previous discharge instructions
The nurse also discovers that the patient understood the directions and had all the necessary supplies. The nurse would gain the most valuable information by asking the patient about (Select all that apply.) a. how important the patient thought the self-care was.
b. whether the patient felt capable of actually performing self-care.
c. whether the patient realizes the consequences of noncompliance.
d. whom the patient can call when he or she has questions about care.
e. why the patient was unwilling to perform self-care measures.
A, B
To attain behavior changes, the person being taught must value the information and the behavior change.
The person must feel confident in his or her ability to perform the self-care measures; if the person does not believe that he or she has the ability to do the activity, the person may not even attempt it.
Using such threatening language as "the consequences of noncompliance" probably would make the patient feel defensive. Although this needs to be assessed (in a more gentle fashion), it is not the priority and can be addressed later.
It is important to know what resources, including other people, the patient has available, but this is not likely the most important area to assess.
Assuming the patient is unwilling is judgmental; in fact, the patient may have been very willing but felt unable to perform the activity. Other stresses may have interfered as well.
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Nurses that think family recognize that long-term stress and burdens may emerge when a family is giving care to an ill family member. Research findings have shown:
1. Nurses can provide various types of support that ease distress of caregiving. 2. A positive relationship between caregiving and depression. 3. A positive link between caregiving and physical health effects. 4. All of the above.
What medication would the nurse expect to administer to the client with ulcerative colitis who complains of painful abdominal cramping?
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A 150-pound male 38-year-old client has been diagnosed with deep venous thrombosis (DVT). The client's history includes recent cardiac bypass surgery, working in a pesticide plant, and hypertension
The family is asking what risk factors the client may have that put him at risk for DVTs. The nurse responds by telling the family that: 1. His recent surgery and prolonged immobilization are risk factors. 2. His prior employment in the pesticide plant may have contributed to the DVT. 3. The cause for DVTs is unknown, but probably is related to his weight. 4. The client's hypertension is a major contributor to the development of DVTs.