After the care plan is completed on your new admission, it will ...

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After the care plan is completed on your new admission, it will be necessary to
 
  a. Re-evaluate and update the plan of care continually based on the patient's needs
  b. Notify the physician so that he or she may make changes
  c. Inform the family that the plan of care is complete for the duration of the patient's stay
  d. File it in the drawer; it is not a useful tool for the ongoing care of the patient

Question 2

Howard Yost, 78 years old, is a quadriplegic as the result of a serious fall from the roof while he was repairing some curled shingles. He has refused to participate in any facility activities and refuses to leave his room when his family visits.
 
  The occupational therapist is having difficulty getting him to participate in feeding and other upper extremity activities. What might be the cause of this type of behavior?
  a. Relocation trauma
  b. Depression
  c. Dementia associated with a possible head injury from fall
  d. Delirium

[taylorsonier]

Answer to Question 1

A
Care planning and the nursing process are ongoing processes that are never completed as long as the patient is in the health-care environment. The physician may have input into the care plan but does not have the right to make changes unilaterally, unless by virtue of changed orders (response B). The care plan is reviewed and revised in interdisciplinary team meetings and at other times deemed necessary by changes in patient status (response C). Response D is incorrect because the care plan is a valuable communication, planning, and evaluation tool.

Answer to Question 2

B
Mr. Yost seems to be exhibiting classic withdrawal symptoms of depression that can be expected with his sudden loss of independence and self-care ability. Mr. Yost does not seem to have symptoms that would be related to relocation trauma (response A), dementia (response C), or delirium (response D).