A parish nurse is counseling a family following a client's recent diagnosis of heart disease. Which of the following actions should the nurse take first?
Offer to accompany the client and the client's partner during health care provider visits.
Assist the client and the client's partner with finding an affordable exercise program.
Discuss the benefits of eating a well-balanced diet with the client's family.
Ask family members about the impact of the disease on relationships within the family.
The Correct Answer is D
When working with a family following a client's diagnosis of heart disease, the first action the nurse should take is to ask family members about the impact of the disease on relationships within the family.
This will help the nurse to assess the emotional and psychological impact of the diagnosis on the family members and identify any areas of stress or concern that may require additional support or resources. It will also help the nurse to develop a holistic care plan that addresses the needs of both the client and the family.
Once the nurse has assessed the family's needs and concerns, she can then proceed to offer to accompany the client and the client's partner during health care provider visits, assist the client and the client's partner with finding an affordable exercise program, and discuss the benefits of eating a well-balanced diet with the client's family as needed.
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Related Questions
Correct Answer is C
Explanation
This indicates that the client may have internal bleeding, which is a life-threatening condition that requires immediate medical attention. The nurse should provide supportive care, such as administering oxygen, and arrange for rapid transport to a trauma center.
The client with superficial partial-thickness burn injuries over 5% of his body may require medical attention, but this is not immediately life-threatening.
The client who is ambulatory and exhibits manic behavior may require psychological support, but this is not a priority in the acute phase of a traumatic event.
The client who has a femur fracture with a 2+ pedal pulse may require immobilization and pain management, but this is also not a priority in the acute phase of a traumatic event.
Correct Answer is B
Explanation
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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