The nurse is caring for a patient who refuses to bathe in the morning. When asked why, the patient says "I always bathe in the evening." Which action by the nurse is best?
a. Defer the bath until evening and pass on the information to the next shift.
b. Tell the patient that daily morning baths are the "normal" routine.
c. Explain the importance of maintaining morning hygiene practices.
d. Cancel hygiene for the day and attempt again in the morning.
ANS: A
Allow the patient to follow normal hygiene practices; change the bath to evening. Patients have individual preferences about when to perform hygiene and grooming care. Knowing the patient's personal preferences promotes individualized care for the patient. Hygiene care is never routine. Maintaining individual personal preferences is important unless new hygiene practices are indicated by an illness or condition. Cancelling hygiene and trying again is not an option since the nurse already knows the reason for refusal. Adapting practices to meet individual needs is required.
You might also like to view...
A patient presents to the ICU with a spinal cord injury at C3 and the following: loss of position sense, light touch, and vibratory sense below the level of the injury
However, the patient has retained all motor function and pain and temperature sensation. The nurse suspects that the injury has occurred on what portion of the spinal cord? A) Central B) Lateral C) Anterior D) Posterior
Which of these is a neurotransmitter?
A) Calcium B) Cholinesterase C) Acetylcholine (ACh) D) Monoamine oxidase
A nurse is working in a rehabilitation center with a client who had a serious injury. Part of the client's care plan includes working on coping with her current limitations since the injury
This nurse is working within which of the following models of health? 1. Role performance 2. Adaptive 3. Eudemonistic 4. Clinical
The most common symptom of osteoarthritis is
A. deformity. B. pain. C. weakness. D. spasticity.