A nurse is completing a follow-up family home visit and discovers that the care plan developed at the last visit was not followed. Which of the following actions should the nurse take first?

Discuss with the family what changes have occurred that have prevented them from following plan of care.

Document that the plan of care was not achieved.

Develop a family nurse contract

Revise the plan of care with the family

Answer and Explanation

The Correct Answer is A

When the care plan is not followed during a home visit, the first step for the nurse should be to discuss with the family what changes or challenges have occurred that prevented them from following the plan of care. This approach allows the nurse to gain insight into any barriers or issues the family may be facing, which can then inform the next steps in revising or adapting the care plan to better suit the family's needs and circumstances.

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Correct Answer is D

Explanation

Social determinants of health are the conditions in which people are born, grow, live, work, and age, and they are shaped by the distribution of money, power, and resources at global, national, and local levels. Living in a rural, isolated community can significantly impact a child's health due to limited access to healthcare services, transportation barriers, economic challenges, and social isolation, among other factors.

A. Insulin injections daily B. Peritoneal dialysis therapy C. Oral hypoglycemic medications D. Fluid restrictions

Correct Answer is C

Explanation

Secondary prevention aims to detect and treat a disease in its early stages to prevent complications and progression. In the case of a client with new onset diabetes mellitus experiencing uncontrolled blood glucose levels, secondary prevention actions might involve interventions to manage blood glucose levels and prevent complications.
A. The decision to initiate insulin therapy as a secondary prevention measure would depend on various factors, including the severity of the client's condition, the effectiveness of other treatments, and the individualized treatment plan developed by the healthcare provider.
B. Peritoneal dialysis is a treatment for end-stage kidney disease (ESKD) when the kidneys are no longer able to function effectively. Uncontrolled diabetes can lead to kidney damage over time
Fluid restrictions are more commonly prescribed for conditions such as heart failure or kidney disease, where fluid overload can exacerbate symptoms and lead to complications.

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A nurse is completing a follow-up family home visit and discovers that the care plan developed at the last visit was not followed. Which of the following actions should the nurse take first?

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Naxlex Comprehensive Predictor Exams

A nurse is educating nursing students about social factors that influence the health of children. The nurse should recognize that the teaching has been effective when the students correctly identify which of the following as a social determinant of health?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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