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 B
Explanation
As a member of a faith-based community, a parish nurse's role is to promote the physical, emotional, and spiritual health of the community members. Stress management strategies are an important aspect of overall health, and teaching stress management techniques can help community members manage stress and improve their overall well-being.
Changing a negative pressure wound therapy dressing, offering primary care to uninsured members, and providing case management are all important healthcare interventions, but they are not appropriate activities for a faith-based community setting. These interventions are best provided in a healthcare facility, such as a hospital or clinic, by licensed healthcare providers.
Correct Answer is A
Explanation
The first action the nurse should take is to determine the client's understanding of her living situation. This will help the nurse to assess the client's level of knowledge and understanding about her situation and tailor interventions accordingly.
It will also help the nurse to establish a therapeutic relationship with the client and create a safe and trusting environment.
Once the nurse has assessed the client's understanding, she can then proceed to assist the client in developing goals for obtaining shelter, discussing the risks of being homeless, and developing client teaching using a variety of strategies as needed.
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