The nurse is working with a family of a 5-year-old child with the chronic condition of spina bifida in the lumbar area. The nurse partners with the family to plan goals of care
An appropriate goal for this child and family would be for the parents to: 1. Refuse a wheelchair for the child to motivate the child to learn to walk.
2. Verbalize their frustrations to the nurse.
3. Accept the school district's individualized transition plan (ITP).
4. Alternately assume care for the child 24 hours a day, seven days a week.
2
Rationale:
1. A child with spina bifida in the lumbar area requires a wheelchair for mobility.
2. The nurse can assist the parents to talk through their frustrations.
3. The ITP assists adolescents with chronic conditions to transition from school to a vocation and independent living.
4. Parents will suffer caregiver burnout if they have no respite from caregiving and no special time with each other.
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A client's family insists that the client live with one of the family members permanently because of a shuffling gait, but the client refuses. Which approach is most effective to provide a safe en-vironment while also acting as a client advocate?
a. Teach the client to wear shoes with thin, firm soles. b. Explain community services for older clients. c. Help the client check the fit of his sneak-ers. d. Tell the client that he can do whatever he wants.
Nursing students must apply Neuman's systems model in the clinical area. Which of the following would represent an intrapersonal stressor to a client?
A) Inadequate health insurance coverage B) Expectations regarding rehab C) Family members who quarrel frequently about the client's care D) Adverse reaction to medication
Surgeons are deemed solely responsible if an item such as a sponge is inadvertently left inside a patient during a procedure
Indicate whether this statement is true or false.
Ans: b, c, d
a. Facilitation of interprofessional care b. Improved client compliance with medical regimens c. Cost savings to the agency d. Compliance with JCAHO standards