When formulating a nursing diagnosis for a client, what must the home health nurse consider?
1. The needs of the client, needs of the client's family, and the characteristics of the home.
2. The needs of the client and the caregivers of the client.
3. The current needs of the client and any potential "at risk" needs.
4. The community the client lives in and any potential risks for the client.
Correct Answer: 1
In forming nursing diagnoses related to clients in their places of residence, the nurse must consider the needs of the client, the needs of the client's family members or caregivers, and also the characteristics of the home environment (steps in the home, poor lighting, homes without heat can all lead to potential health problems for the client). Current "at risk" needs of the client may be addressed but the priority concern are the current needs. The community risks are not covered in the home health nurse's plan of care.
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A female client has recently been diagnosed with bipolar disorder. Her husband asks if there is any possibility that the disease has been transmitted to their children. What is the best nursing response?
1. "Only if there is another person in your wife's ancestry who was diagnosed with this disorder." 2. "Does your wife have a twin with this disorder?" 3. "Your children's risk for developing this disorder is higher than that of the general population." 4. "We believe so, but there is no research to support our anecdotal observations."
It is necessary to measure a patient's height, but the patient's legs are suspended in traction. Which nursing action is indicated?
1. Measure from the patient's head to the iliac crest and use a standard table to estimate height. 2. Remove the traction weights long enough to quickly measure length of one leg. 3. Measure the patient's arm span. 4. Estimate the patient's height from his stated weight.
An instructor explains that chronic illness is characterized by periods of either minimal symptoms or a complete absence of symptoms. A nurse explains to a chronically ill patient that his or her absence of symptoms is known as ____________________
Fill in the blank with correct word.
Even a moderate amount of anxiety is detrimental to a person's normal functioning
Indicate whether the statement is true or false.