A rehab client has orders for active range of motion exercises to her shoulder following a stroke. The client doesn't like to do these because they are uncomfortable and she can't understand "what good they will do anyway."
Which of the following statements by the nurse demonstrates the critical-thinking component of creativity?
1. "You'll only get worse if you don't do these exercises."
2. "As soon as you get these into your routine, you'll feel better."
3. "Your physician wouldn't have ordered these if they weren't important."
4. "Here's a marker. See how many circles you can make on this board in 10 minutes."
Correct Answer: 4
Rationale 1: Explaining the rationale for doing or not doing the exercises is not using creativity. It is merely explaining the reason.
Rationale 2: This shows no creativity but merely dismissing the client's concerns and feelings.
Rationale 3: This doesn't show any creativity but merely dismisses the client's feelings.
Rationale 4: Making the exercise routine into something more–like a game, or drawing a picture, or even "decorating the walls," for example–would raise a challenge to the client, take the focus off the why, and still achieve the end result.
You might also like to view...
The nurse is teaching the patient about angina pectoris. Which of the following statements by the patient indicates that he has understood the teaching implemented regarding angina pectoris?
A) "I will avoid exercise because it will precipitate my angina." B) "As long as I take my medicines, I will not need to decrease my fat intake." C) "My high blood pressure has no effect on my episodes of chest pain." D) "High fat in the diet and smoking can cause my episodes of chest pain."
A nurse completing a hospital discharge to home understands that which of the following interventions is most important before discharge
a. Medication reconciliation b. Providing a list of community resources c. Contacting a durable medical equipment facility d. Educating the client on appropriate range-of-motion exercises
Which precaution is most important to teach a patient who is prescribed an antacid?
a. "Avoid using extra pepper on your food while taking this drug." b. "If you become constipated, stop taking the antacid completely." c. "Take this drug at least 2 hours before or after taking any other drug." d. "Notify your prescriber if heartburn continues after you have taken the drug for 3 days."
The nurse in an addictions clinic is working with a patient on priority setting before the patient's discharge from residential treatment. An appropriate priority for a patient at this clinic would be
a. Identifying local self-help groups before being discharged from the program. b. Staying away from all triggers that cause substance abuse. c. Stating a plan to never be tempted by illicit substances after discharge. d. Identifying personal areas of weakness to grow stronger.