Which of the following types of care plans is most likely to enable the nurse to take a holistic view of the client's situation?
A) Kardex
B) Case management
C) Critical pathways
D) Concept map care plan
Ans: D
A concept map care plan is a diagram of client problems and interventions. The nurse's ideas about client problems and treatments are the "concepts" that are diagrammed. These maps are used to organize client data, analyze relationships in the data, and enable the nurse to take a holistic view of the client's situation (Schuster, 2002).
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A client had a nerve laceration repair to the forearm and is being discharged in a cast. What statement by the client indicates a poor understanding of discharge instructions relating to cast care?
a. "I can scratch with a coat hanger." b. "I should feel my fingers for warmth." c. "I will keep the cast clean and dry." d. "I will return to have the cast removed."
The 15-year-old son of a single, full-time working mother frequently is left at home alone to care for himself. According to Erikson's theory, the nurse is aware that this adolescent most likely would have difficulty in developing a comfortable:
a. Body image b. Self-ideal c. Self-concept d. Role performance
What should be done if a patient from the Black culture practices aspects of folk medicine while also receiving Western treatment?
A. Integrate the two treatments. B. Discourage folk medicine practices. C. Consult the minister to give approval. D. Choose which treatment option they prefer.
5. The nursing diagnosis for a client is immobility related to a stroke. Which classification system can be readily used with this diagnosis?
a. Omaha system of client problems b. Clinical pathways c. Nursing intervention classification d. International classification of disease (ICD)