As part of the treatment regimen for the diagnosis of colon cancer, a 73-year-old client has recently received a colostomy. What should the nurse prioritize during discussions in the early stages of patient teaching?
A) Modifications in food and fluid intake that the device necessitates
B) The lifestyle adjustments and effect on self-concept that often accompany colostomies
C) Further treatment options that exist for colon cancer
D) The importance of monitoring for signs of infection at the colostomy site
B
Feedback:
Colostomies often constitute a threat to patients' routines, self-concept, and social life, and these matters would require patient teaching and empathic discussions. It would likely be inappropriate to initiate discussion about other treatment options with the patient and changes to diet and the potential for infection are not noted to be areas for emphasis.
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Which aspect of the critical care family assistance program would most likely be needed by this family initially? A) Educational materials B) Weekly group family information sessions C) Hospitality programs D) Pet therapy
In order to organize services needed to achieve specific client outcomes, hospital administrators should consider what type of client care delivery system?
1. Functional nursing 2. Differentiated practice 3. Case management 4. Primary nursing
The nurse believes that a patient may be experiencing a lot of stress at home. The patient is angry and states, "It is too much for me to handle. You don't know what I am going through." What is the most appropriate response(s) by the nurse?
Select all that apply. a. "I don't know what you are going through, can you tell me more?" b. "Please don't be angry with me. We all do the best we can here." c. "How long have you been dealing with this stress?" d. "How do you usually manage your stress?"
Power is described as
a. A relational concern for both leaders and followers b. Use of force over others to manipulate them c. Letting any follower do whatever he or she wants d. Forcing people to engage in extreme behaviors