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 C

Explanation

C. Compassion is an essential quality that nurses should demonstrate when communicating with clients. It involves showing empathy, understanding, and sensitivity to the client's feelings, concerns, and needs. Compassionate communication can help build trust, rapport, and a therapeutic relationship between the nurse and the client, ultimately improving client outcomes.
A. Judgment implies forming opinions or making decisions about clients, which can negatively affect the therapeutic relationship. Instead, nurses should aim to communicate with empathy, understanding, and without judgment, to establish trust and facilitate effective communication.
B. Ambiguity refers to being unclear or having multiple interpretations. In communication with clients, clarity is crucial to ensure that information is conveyed accurately and effectively. Ambiguity can lead to misunderstandings or confusion, which may compromise client outcomes.
D. Indirect communication involves conveying messages in a roundabout or unclear manner, which can lead to misunderstandings or misinterpretations. In healthcare settings, direct and clear communication is essential to ensure that information is understood correctly and that clients can make informed decisions about their care.

A. “It is important to follow the vaccination schedule as designed to protect children when they are most vulnerable, and their immune system is still developing.” B. “The vaccination schedule is only a recommendation; if you do not feel comfortable giving the vaccinations now, then it is fine to wait” C. “The vaccine schedule is only a recommendation, it is fine to postpone the vaccinations as long as the child is fully vaccinated prior to starting school." D. "Adhering to the vaccination schedule is extremely important if you do not agree to get the vaccinations as recommended, you will be putting your child at risk for serious illness and death.”

Correct Answer is A

Explanation

The most appropriate response by the nurse emphasizes the importance of following the vaccination schedule to ensure the child's protection, particularly during a period when they are most vulnerable to serious illnesses. This response also highlights the significance of vaccination in safeguarding public health through herd immunity.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse working in a community health clinic is reinforcing education to a group of nurses about communication skills for improving client outcomes. Which of the following qualities should nurses demonstrate when communicating with clients?

Correct Answer is C

Explanation

A nurse is assessing a 2-month-old infant at a well-child visit. The guardian tells the nurse that they would like to postpone vaccinations until the child is older and can tolerate them better. Which of the following responses by the nurse would be appropriate?

Correct Answer is A

Explanation

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