A client has been informed by her physician that she requires emergency surgery. The client tells the nurse, "I will have the surgery after I attend my family vacation." Which of the following is the most appropriate mutual goal for the client?
a. The client will accept the recommended medical regimen.
b. The client will alternate activity with rest throughout the day.
c. The client will take a leave of absence from her work schedule.
d. The client will check her blood pressure four times a day.
ANS: B
Nurse-client relationships are designed to empower clients and families to assume as much responsibility as possible in self-management of chronic illness. Both nurse and client have responsibilities and work toward agreed-upon goals. Shared knowledge, mutual decision-making power, and respect for the capacities of client to actively contribute to his or her health care to whatever extent is possible are active components. The client always has the right to choose the course of action, even if it does not coincide with medical advice. If the client takes a leave of absence from her work schedule, it is not a mutual goal. Setting the goal of having the client check her blood pressure four times a day does not address the issue from the client perspective.
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