The nurse is providing home care for a client with an infection, the infection is not improving, and the client refuses to see an infectious disease specialist. Which should the nurse include in client teaching as the client advocate?
1. Discussing consequences of refusing treatment
2. Avoiding the specialist will lead to a disaster
3. Needing no additional specialist's visit after this
4. Voiding the client's need for additional home visits
1
1. The nurse instructs the client about the risks of refusing and accepting treatment so the client understands the potential consequences of refusing treatment. The nurse informs the client because the client has the right to be involved in the treatment plan and to refuse treatment. The nurse supports client teaching with objective data, avoiding scare tactics, veiled threats, false hope, or coercion.
2. The nurse can scare or intimidate the client by predicting a potential disaster.
3. The nurse provides false hope by stating the specialist will be the last provider the client must see to resolve the infection.
4. Many providers can prescribe home care but the need for home care, usually, is the need for skilled nursing care.
You might also like to view...
Which dimension would the nurse most likely focus on if assessing the patient from primarily a 19th century perspective?
1. Spiritual 2. Physical 3. Social 4. Emotional
The parents of a child with head lice asks the nurse to explain the difference with scabies. What should the nurse reply? The nurse is teaching a family whose children contracted head lice at school
The parents thought that the children had scabies, and ask the nurse the difference. The nurse replies that: 1. Lice burrow into the skin. 2. The scabies mite lays eggs on the hair shaft. 3. Lice are found between the fingers. 4. Scabies mites burrow into the skin at the wrist.
A patient with heart failure reports a 5-lb weight gain during the past week and episodes of feeling more short of breath. What is the nurse's best response?
a. "These changes are to be expected because you have heart failure." b. "You will probably need a decreased dose of your diuretic drug." c. "I will ask the dietitian to discuss a weight loss diet with you." d. "Your prescriber must be notified because your heart failure is getting worse."
The growing multiculturalism of the American society can lead to problems when:
1. Cultural standards are congruent with professional standards. 2. Certain ethnic groups do not want to comply with Western medicine ideals. 3. Ethnic groups overburden the health care system. 4. The greater community's values are jeopardized by specific ethnic values.