A nurse eagerly explained to a long-term disabled male client the most recent relevant research related to his care. The client, rather than express appreciation, said, "I prefer to have my care given this way."
The nurse explained that research suggested an alternative approach was more clinically effective, but the client said, "I am more comfortable during the day if my care is given this way." Which of the following actions should be taken by the nurse?
a.
Accept that the client knows what works best
b.
Ask the nursing supervisor to review the research with the client
c.
Give evidence-based care according to current research findings
d.
Negotiate a compromise between patient preferences and research-based approach to care
ANS: A
A person who lives with a disability commonly becomes an expert at knowing what works best for his or her body. The nurse must ask the client what works best for him or her and what goals the client is pursuing. Research is based on probabilities of effectiveness with large groups, but individuals may have a different unique reaction to any intervention.
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A client reports he has been gargling with hydrogen peroxide to manage halitosis. He questions the nurse about the amount and frequency of gargling. What information should be provided to the client?
A) Advise the client to suspend the practice. B) Advise the client to gargle with the hydrogen peroxide only one time per day to reduce irritation. C) Advise the client to dilute the hydrogen peroxide solution with water prior to gargling. D) Encourage the client to mix the hydrogen peroxide with mouthwash for gargling.
A patient with vascular dementia does not remember family members' names. The family insistently reorients the patient, and the patient becomes more agitated. What is the most likely reason for the patient's reaction? The patient is
a. using agitation to distract the family from the cognitive deficits. b. overstimulated by the reorientation and reacting negatively. c. reliving family chaos that was previously unresolved. d. experiencing guilt about the memory deficits.
While providing care to a patient, the nurse is responsible, both professionally and legally. Which concept does this describe?
a. Autonomy b. Accountability c. Patient advocacy d. Patient education