The nurse is developing a care plan that will include goals that will help the client achieve an optimal level of functioning and appropriate resource utilization
When the nurse enters the cli-ent's room, the client asks the nurse, "Could you ask the physician to let me have a pass for the weekend?" The nursing response that assists the client in achieving these goals is: 1. "When your doctor comes in, I will ask for a pass for the weekend."
2. "When the physician arrives on the unit, I will let him or her know that you have a question."
3. "I will call the doctor and find out if you can have a pass so that you can make your arrangements."
4. "You can't have a pass for the weekend. You are not ready, and I'm sure that your doctor will say no."
2
Rationale: The nurse should become aware of the client's strengths and encourage the client to work at the optimal level of functioning. In "When the physician arrives on the unit, I will let him or her know that you have a question." the nurse is helping the client develop resources. The nurse does not act for clients unless absolutely necessary and then only as a step toward helping clients act on their own. Consistently encouraging clients to use their own resources helps mini-mize clients' feelings of helplessness and dependency and also validates their potential for change.
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