A home health nurse is planning the initial home visit for a client who has dementia and lives with his adult son's family. Which of the following actions should the nurse take first during the visit?
Educate the family regarding the progression of dementia.
Engage the family in informal conversation.
Provide the family with information about respite care.
Encourage the family to join a support group.
The Correct Answer is B
During the initial home visit, the nurse should establish rapport and build a trusting relationship with the client and his family.
Engaging the family in informal conversation allows the nurse to learn about the family's dynamics, routines, and preferences, as well as the client's interests and abilities. This information can be helpful in developing a care plan that is tailored to the client's and family's needs and goals.
While educating the family about dementia and providing information about resources such as respite care and support groups is important, these actions should come after the nurse has established a rapport with the family and gained their trust.
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Related Questions
Correct Answer is D
Explanation
Many migrants may not speak the language of the country they are in, which can create significant barriers to accessing health care. Therefore, it is crucial for the nurse to ensure access to interpretation services, such as hiring bilingual staff or interpreters, or using telephone interpretation services.
Treating illnesses on a fee-for-service basis may be a barrier to accessing care for migrants who may not have insurance or the financial resources to pay for services.
Providing health services at work sites may be helpful, but it may not reach all members of the migrant population.
Offering health screenings at a community center may be helpful, but it may not address the issue of language barriers.
Correct Answer is A
Explanation
Clostridium difficile is a highly contagious bacterium that can survive on surfaces for long periods of time. Cleaning the bathroom with a diluted bleach solution is an effective way to kill the bacteria and prevent its spread. The nurse should also instruct the client to wash their hands frequently with soap and water, as alcohol-based hand sanitizers are not effective against Clostridium difficile.
It is not necessary for the client to wear a surgical mask when away from home, as the bacteria is primarily spread through contact with contaminated surfaces. The use of probiotics may be beneficial in restoring the balance of gut bacteria in some cases, but there is limited evidence to support its use in preventing or treating Clostridium difficile infections.
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