Which would be the most effective approach for a nurse to take ...

[tth]

Which would be the most effective approach for a nurse to take when assessing the self-care needs and activities of daily living (ADLs) for an older adult?
 
  a. Observe the level of grooming and dress that the patient demonstrates on a daily basis.
  b. Interview the patient with a focus on how daily toileting and bathing are typically achieved.
  c. Offer to provide the patient with the typical activities involved with bathing and grooming.
  d. Interact with the patient to determine his or her ability to bathe, toilet, eat, and dress independently.

Question 2

How does a nurse's use of sympathetic communication sometimes hinder a patient's work in developing a more realistic self-concept?
 
  a. Sympathy can reinforce self-pity.
  b. Sympathy reduces patient ego strength.
  c. Sympathy encourages premature self-revelation.
  d. Sympathy limits potential positive effects of transference.

[mariahkathleeen]

Answer to Question 1

D
Interacting with the patient during ADLs (bathing, grooming, toileting, eating, dressing) presents the best opportunity to assess independence and needs related to those activities.

Answer to Question 2

A
Sympathy reinforces self-pity, and self-pity stands in the way of the patient's realizing that the power to change lies within himself or herself, which is the desired outcome of patient self-exploration.

[tth]

Thanks for the timely response, appreciate it

[cam1229]

Excellent