The nurse is caring for a patient with an altered self-concept. What should this nurse do first when planning care for this patient?
a. identify the patient's weaknesses
b. complete a physical assessment
c. identify coping mechanisms
d. deny the patient has an altered self-concept
C
When caring for a patient with altered or threatened self-concept, the nurse should first identify the patient's strengths and successful coping mechanisms before formulating and implementing a plan of care. It is important to not take away a person's defensive processes until another method of coping with anxiety has been developed.
You might also like to view...
A recently licensed nurse states, "My client keeps saying he is in pain. I don't believe him because I had the same surgery last year and didn't feel nearly as bad as he claims
" What response by the more experienced nurse is most appropriate? 1. "It sounds as if your client is a drug seeker." 2. "You should contact the healthcare provider." 3. "I would call the nursing supervisor for this one." 4. "Pain differs from person to person."
The nurse reads that an assigned client has an immunodeficiency. The nurse reads further in the medical record, anticipating that the client also most likely has a history of
a. conjunctivitis. b. severe headaches. c. skin eruptions. d. unexplained weight loss.
Which federal agency funds health services research on the effectiveness of health care services and outcomes?
a. Health Resources and Services Administration (HRSA) b. Centers for Medicare and Medicaid Services (CMS) c. Agency for Health Care Research and Quality (AHRQ) d. National Institutes of Health (NIH)
What intervention is most important when caring for the client?
A) Touch and calm the client frequently B) Monitor the level of consciousness of the client C) Monitor the client for an increase in respiratory rate D) Encourage the client to watch television