Answer to Question 1
1
Rationale 1: It is critical to establish rapport with family members prior to beginning any assessments. A therapeutic relationship must exist to obtain accurate information or provide education.
Rationale 2: Although this is important, record review should be done prior to arriving at the home, so that the nurse is prepared.
Rationale 3: This is less important than another step at the outset of the visit.
Rationale 4: This is less important than another step at the outset of the visit.
Answer to Question 2
2
Rationale 1: Replacing laundry starch with salt is not an appropriate substitute. High levels of salt can lead to elevated blood pressure and fluid retention.
Rationale 2: Fruit juice, although often high in sugar, provides vitamins.
Rationale 3: Substituting soap with cream cheese is not appropriate, as cream cheese is high in fat.
Rationale 4: Replacing soil with uncooked pie crust is not appropriate, as pie crust is high in fat.