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
Social justice in nursing involves advocating for fairness, equality, and the rights of all individuals, including vulnerable populations such as older adults who may be at risk of abuse. Reporting suspected abuse is an important step in protecting the rights and well-being of older adults and ensuring that they receive the support and intervention they need.
A, B, and D may also be important principles in nursing practice, but in this scenario, reporting concerns of suspected abuse aligns most closely with the principle of social justice
Correct Answer is A
Explanation
Secondary prevention involves early detection and intervention to prevent the progression of a disease and minimize its impact. Early detection of the rash can lead to prompt diagnosis and treatment with antibiotics, which can prevent the progression of Lyme disease and the development of more severe symptoms.
B, C, and D are examples of primary prevention strategies aimed at reducing the risk of contracting Lyme disease in the first place, rather than detecting and managing it after infection has occurred.
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