A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the nurse make first?
"A social worker can help you with the cost of supplies."
"Describe the place where you are currently living."
"Eat a balanced diet with high-protein snacks."
"Apply moisture barrier ointment three times a day."
The Correct Answer is B
Before discussing specific aspects of the client's care, the nurse should assess the client's living environment to determine if it is suitable for the client's needs. In this case, the client requires a special bed to manage the pressure injury, so the nurse should assess if the client's current living environment can accommodate this need.
If the client's current living environment is not suitable, the nurse can work with the client and their family to identify alternatives, such as modifying the current environment or finding a new living arrangement. Once the nurse has assessed the living environment, they can proceed to discuss specific aspects of the client's care, such as accessing supplies, nutrition, and wound care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The nurse's response demonstrates respect for the client's autonomy, which is the principle of respecting the client's right to make decisions about their own healthcare. The nurse acknowledges the client's right to make a decision and offers support for whatever decision the client makes. Beneficence is the principle of doing good for the client, while nonmaleficence is the principle of avoiding harm. Veracity is the principle of telling the truth to the client, which is not necessarily demonstrated in this scenario.
Correct Answer is B
Explanation
Referring clients to the appropriate community agency if signs of abuse are evident is an example of secondary prevention. Secondary prevention aims to detect and treat a disease or condition early on to prevent it from progressing. In this case, referring clients to an agency that can provide support and resources for individuals experiencing abuse can prevent the abuse from escalating or becoming more severe.
Option Ais an example of tertiary prevention, which aims to minimize the impact of an already established disease or condition by maximizing function and preventing complications.
Option Cis an example of primary prevention and health promotion, which aims to improve overall health and well-being.
Option Dis an example of primary prevention, which aims to prevent a disease or condition from occurring in the first place.
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