A client has been receiving home care for several weeks. Which individual should the nurse realize is responsible for ensuring that the client is receiving care at the appropriate times and in the appropriate amounts?
1. Client
2. Nurse
3. Physician
4. Client's spouse
Correct Answer: 2
Rationale 1: Even though the client may become independent in self-care skills, assurance is not the client's responsibility.
Rationale 2: Even though the client and family may become independent in self-care skills, the home health nurse still has the ultimate responsibility to ensure that the client is receiving the prescribed therapy at the appropriate timed intervals. On subsequent home visits, the nurse observes the same parameters assessed on the initial visit.
Rationale 3: Even though the physician has responsibilities to the client, assurance in this area is not one of them.
Rationale 4: Even though family members may assume responsibility for a client's care, it is not their responsibility to assure appropriate care.
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