Author Question: While conducting a health history, a client states, I am healthy, I don't know why I have to be here ... (Read 88 times)

aabwk4 · **on:** Jun 25, 2018

While conducting a health history, a client states, I am healthy, I don't know why I have to be here to get a check-up.

However, the client reports, type 2 diabetes mellitus and an unhealed ulcer on the left foot. Based on this information, which statement by the nurse is the most appropriate?
1. I feel that you are in denial about your health status.
2. Tell me about your definition of being healthy.
3. Do you understand what diabetes is?
4. Is there anything else you are not telling me?

Question 2

The nurse is assessing the abilities of an older adult. Which activities are considered IADLs? Select all that apply.

a. Feeding oneself
b. Preparing a meal
c. Balancing a checkbook
d. Walking
e. Toileting
f.
Grocery shopping

tranoy · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2
A client will have his or her own definition of health, illness, and wellness. The individual's concept of health and wellness is influenced by many factors, including age, gender, race, family, culture, religion, socioeconomic conditions, environment, previous experiences, and self-expectations. More information would be needed before the nurse could attribute the client's viewpoint as denial or lack of knowledge. The client's history of type 2 diabetes is a valid area requiring further investigation but the nurse must first ascertain the client's definition of healthy. There is also not enough information to determine the client's withholding of information to the nurse.

Answer to Question 2

ANS: B, C, F
Typically, IADL tasks include shopping, meal preparation, housekeeping, laundry, managing finances, taking medications, and using transportation. The other options listed are ADLs related to self-care.