When planning interventions to address a client's crisis, the ...

[imanialler]

When planning interventions to address a client's crisis, the nurse should:
 
  1. Focus on long-term problems.
   2. Conduct a complete assessment.
   3. Determine follow-up.
   4. Develop the plan prior to meeting with the client.

Question 2

A patient refuses an enema that has been ordered by the physician. Which of the following should the nurse do?
 
  a. Leave immediately without performing the procedure.
  b. Explain to the patient why the procedure is ordered and the consequences of not accepting the procedure.
  c. Give the enema to the patient.
  d. Call the nursing supervisor.

[stano32]

Answer to Question 1

2. Conduct a complete assessment.

Rationale:
Nursing care is based on assessment. Thus, a plan cannot be developed prior to meeting with the client. The time frame, whether short-term or long-term, and the need for follow-up, will be determined by the findings of the assessment.

Answer to Question 2

B
Patients have the right to refuse any intervention, however the nurse must explain the rationale for the intervention and possible consequences associated with refusing treatment.

[imanialler]

TY

[stano32]

You're welcome