A nurse is caring for an older adult client preparing for discharge to a nursing center after having hip surgery. Which of the following nursing responses is most therapeutic when dealing with the client's concern that she, "will never go back home"?
1. "What makes you think that this transfer to the nursing center will be perma-nent?"
2. "The reason for this transfer is only to support you while you continue to recuper-ate."
3. "The decision to stay in the nursing center is yours to make. When you want to leave no one will stop you."
4. "The nursing center is a lovely place with a wonderful staff of caring people. Just give it a chance. You may like it."
ANS: 1
Although the decision to enter a nursing center is never final and a nursing center resident is sometimes discharged to home or another less-acute-care facility, many older adults view the nursing home as their final residence. This option is an open-ended question that encourages the client to express his or her concerns and fears.
You might also like to view...
How would the nurse working in a school clinic that is part of an integrated health care network explain the focus of care to parents and teachers?
1. Hospital care 2. Primary care 3. Specialty care 4. Home care
Which nursing theorist stated that clients are open systems in constant interaction with their environment?
A) Florence Nightingale B) Virginia Henderson C) Imogene King D) Dorothea Orem
A colposcopy has been ordered for a patient. What should be included in the education provided to the patient?
1. Sexual intercourse is restricted for 2 days before the procedure. 2. The patient may expect to feel referred shoulder pain in the first few days after the procedure. 3. Heavy vaginal bleeding is likely after the procedure. 4. The procedure will likely require the patient to stay overnight at the hospital.
Blair is a nurse who works for a pulmonary unit. Together she and Sheila, a nursing assistive personnel (NAP), are caring for six patients on her shift. Sheila is relatively new, but has been checked on basic competencies
Which of the following tasks would be most appropriate for Blair to delegate to Sheila? A. Taking vital signs on a 56-year-old man with dyspnea B. Suctioning a patient with hemoptysis C. Encouraging a postoperative patient to use the incentive spirometer D. Performing chest percussion on a patient with atelectasis