What might be a problem for the nurse making home visits? Select all that apply
A. Assessing the client may be more complex when family and environmental factors are considered in the assessment.
B. The nurse may be unable to care for as many clients because of the time lost in transportation.
C. Clients may expect more individualized care when in their own home.
D. Teaching may be more time-consuming when both the client and the family are involved.
E. The nurse may sometimes be concerned for personal safety.
F. There may be difficult to control distractions, such as noisy children.
ANS: B, E, F
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A patient has met the goals and outcomes mutually agreed upon for improvement of ventilatory status. What should the nurse do next?
a. Modify the care plan. b. Discontinue the care plan. c. Create a nursing diagnosis that states goals have been met. d. Reassess the patient's response to care and evaluate interventions.
A patient is lying supine and the clinician deeply palpates the right upper quadrant of the abdomen while the patient inhales. The examiner is testing the patient for:
A. Psoas sign B. Obturator sign C. Rovsing's sign D. Murphys' sign
A child is admitted with multiple injuries believed to be caused by abuse. Which of the following is not typically associated with child abuse or neglect?
a. Stress b. Family financial problems c. Access to health care d. Social isolation
Nursing assistants can attend:
a. The nursing process b. Care conferences c. Resident assessment protocols (RAPs) d. The comprehensive care plan