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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Foods like carrots and hot dogs can pose a choking hazard due to their shape and texture. Cutting these foods into small, manageable pieces reduces the risk of choking by making them easier to chew and swallow safely.
A. Toddlers should always be closely supervised while eating, regardless of the types of foods being given. Supervision helps to ensure that toddlers are eating safely and can receive prompt assistance if they experience any difficulties or choking incidents.
B. While it is important for toddlers to play with age-appropriate toys, this instruction is not directly related to preventing choking incidents specifically.
D. Peanuts are considered a high-risk food for choking, and even if the shell has been removed, they can still pose a choking hazard to toddlers.
Correct Answer is D
Explanation
A false negative screening result means that the test incorrectly indicates the absence of a condition when it is actually present.
This statement reflects the potential consequence of a false negative result, which is the delay or missed opportunity for early intervention or treatment due to the incorrect belief that the condition is absent.
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