Author Question: The nurse works with 68-year-old client who is having great difficulty managing his blood glucose ... (Read 110 times)

mrsjacobs44 · **on:** Jul 8, 2018

The nurse works with 68-year-old client who is having great difficulty managing his blood glucose level. The nurse finds that the client is not following the diet that he had agreed to follow and is eating portions that are far too large.

He apologizes and explains that he is grieving the loss of his wife, who died 2 weeks ago. The nurse shares condolences with him on his loss and explain that it is perfectly understandable to have trouble following a new diet while grieving. In this scenario, the nurse is using which principal approach in motivational interviewing?
A) Expressing empathy
B) Supporting self-efficacy
C) Rolling with resistance
D) Finding a discrepancy

Question 2

The home care agency has just received a client referral from a physician and assigned the case. Within how many hours from receiving the referral should the nurse plan to make the initial visit to this client, on the basis of typical agency policy?

A) 12 hours
B) 24 hours
C) 36 hours
D) 48 hours

sultansheikh · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Ans: A
Feedback:
Empathy is an approach to clients that involves trying to see clients' lives through their own lens and trying to think about their experiences as they would think about them. Self-efficacy is the belief on the part of the client that change is possible. In motivational interviewing, the home care nurse does not fight client resistance but rolls with it. Home care nurses also work to develop opportunities for clients to discover discrepancies between their current behavior and what they want to accomplish through changed behaviors.

Answer to Question 2

Ans: B
Feedback:
Generally, home care agencies make sure that an initial visit is made within 24 hours after receiving a referral.