The nurse is caring for a client with a personality disorder. The client feels as if she is not accomplishing any of her goals. Which of the following is the most appropriate response by the nurse?
1. "Would you like to increase your therapy visits?"
2. "Let's look at the plan of care together."
3. "Who told you that you weren't accomplishing your goals?"
4. "I will discuss your feelings with the doctor."
2
Rationale: Evaluation of the plan of care is made together with the client, incorporating ancillary information when available. The patient has indicated that the process is moving too slowly. Therefore, the plan needs to be adjusted for more realistic shorter-term goals. This process is completed by having the nurse and client look at the plan together to discuss more obtainable goals.
You might also like to view...
A 75-year-old woman who has a history of diabetes and peripheral vascular disease has been trying to remove a corn on the bottom of her foot with a pair of scissors. The nurse will encourage her to stop trying to remove the corn with scissors because:
a. The woman could be at increased risk for infection and lesions because of her chronic disease. b. With her diabetes, she has increased circulation to her foot, and it could cause severe bleeding. c. She is 75 years old and is unable to see; consequently, she places herself at greater risk for self-injury with the scissors. d. With her peripheral vascular disease, her range of motion is limited and she may not be able to reach the corn safely.
Which clinical manifestations are indicative of right ventricular failure? (Select all that apply.)
a. Jugular venous distention b. Peripheral edema c. Crackles audible in the lungs d. Weak peripheral pulses
The nurse is caring for a client who was admitted 5 hours ago after sustaining multiple gunshot wounds to the abdomen. The client has had 8 units of blood. The blood bank notified the nurse that it was short of blood
The nurse understands that the client can receive any type of blood if she has ____ blood type. 1. AB 2. A 3. B 4. O
A nurse assesses a client who recently experienced a traumatic spinal cord injury. Which assessment data should the nurse obtain to assess the client's coping strategies? (Select all that apply.)
a. Spiritual beliefs b. Level of pain c. Family support d. Level of independence e. Annual income f. Previous coping strategies