Which of the following nursing actions should be initiated first when dealing with the following unmet client goal: "Client will lose 4.5 kg in 3 months"?
a. Interview the client to identify reasons why the goal was not met.
b. Assess the client for possible physical reasons for failure to lose the weight.
c. Discuss with the client whether he or she was truly motivated to lose the weight.
d. Re-evaluate whether it was realistic for the client to lose 4.5 kg in three months.
A
When goals are not met, the nurse should identify the factors that interfere with goal achieve-ment.
The goal "Assess the client for possible physical reasons for failure to lose the weight" reflects an action to be taken after the interview to further determine how the care plan will be modified.
The goal "Discuss with the client whether he or she was truly motivated to lose the weight" re-flects an action to be taken after the interview to further determine how the care plan will be modified.
The goal "Re-evaluate whether it was realistic for the client to lose 4.5 kg in three months" re-flects an action to be taken after the interview to further determine how the care plan will be modified.
You might also like to view...
A diabetic client is being screened for tuberculosis. The nurse administers the tuberculin skin test. Instructions related to the skin test should include:
1. The client must return within 24 to 36 hours to have the test assessed. 2. A positive reaction to the skin test is based upon redness around the injection site. 3. An induration area of 15 mm or greater is significant in this client. 4. An induration area of 10 mm or more is considered positive in this client.
Which one of the following patient characteristics is most likely to limit patient reliability during history taking?
a. The patient's measured IQ is above aver-age. b. The patient is alert and oriented to time and place. c. The patient is sleep- and sensory-deprived. d. The patient speaks the same language as examiner.
The nurse takes into consideration that more families use the service of a daycare center because: (Select all that apply.)
a. More mothers are working b. Mothers are returning to work sooner after childbirth c. The cost of daycare is reasonable d. Mothers need some free time e. Daycare centers help a child with socialization
A home health care nurse is assigned to visit a client's home. The nurse identifies the area as a problem neighborhood. Which of the following would be most appropriate for the nurse to do?
A) Perform the visit via telephone B) Have another nurse buddy along C) Reschedule the visit for another time D) Leave the cell phone at home