The nurse is assessing several clients. For which client does assessment reveal a psychosocial history that may affect the client's outcome?
1. Older adult who recently suffered a stroke, has an unsteady gait, and lives in a two-story home
2. Middle-aged client with Down syndrome living in a group home
3. Recently divorced mother of three children with breast cancer
4. Sixteen-year-old requesting birth control without parental consent
5. Seven-year-old with asthma in a foster care home
Correct Answer: 1,2,3
Rationale 1: This client may not be able to return to a home that requires climbing stairs.
Rationale 2: A client with Down Syndrome needs additional care to ensure that treatment outcome is successful.
Rationale 3: This client may be the family's sole provider and may have financial concerns.
Rationale 4: Many teens seek contraception without their parents' consent. This should not have a negative impact on outcome.
Rationale 5: Residing in foster care should not have a negative impact on outcome.
Global Rationale: The older adult client who suffered a strok may not be able to return to a home that requires climbing stairs. A client with Down Syndrome needs additional care to ensure that treatment outcome is successful. The divorced mother recently diagnosed with breast cancer may be the family's sole provider and may have financial concerns. Many teens seek contraception without their parents' consent. This should not have a negative impact on outcome. Residing in foster care should not have a negative impact on outcome.
You might also like to view...
A nurse assesses a client who is 6 hours post-surgery for a nasal fracture and has nasal packing in place. Which actions should the nurse take? (Select all that apply.)
a. Observe for clear drainage. b. Assess for signs of bleeding. c. Watch the client for frequent swallowing. d. Ask the client to open his or her mouth. e. Administer a nasal steroid to decrease edema. f. Change the nasal packing.
A male international business traveler has returned from a trip to Indonesia. While there, he hired a prostitute for companionship and engaged in unprotected sex on more than one occasion
Unbeknownst to him, this prostitute harbored the hepatitis C virus. Upon return to the United States, he exhibited no symptoms and returned to his usual activities. During this period of no outward symptoms, the man would be classified as being in A) the preclinical stage of disease. B) remission and unlikely to develop hepatitis C. C) the clinical disease stage of hepatitis C. D) the chronic phase of hepatitis C.
Which of the following helps the nurse to provide positive reinforcement in a client with schizophrenia?
A) Explain the importance of hygiene. B) Direct the client to care for himself or herself. C) Encourage exercises. D) Appreciate any worthy accomplishments.
A patient is diagnosed with osteoporosis. Which statements should the nurse include when teaching the client about the disease? (Select all that apply.)
a. Osteoporosis is common in females after menopause. b. Osteoporosis is a degenerative disease characterized by a decrease in bone den-sity. c. The disease is congenital, caused by poor dietary intake of dairy products. d. Osteoporosis can cause pain and injury. e. Passive range of motion can prevent oste-oporosis.