Author Question: A nurse is getting ready to discharge to home a patient who has a nursing diagnosis of Impaired ... (Read 74 times)

jasdeep_brar · **on:** Jul 22, 2018

A nurse is getting ready to discharge to home a patient who has a nursing diagnosis of Impaired physical mobility. Before discontinuing the patient's plan of care, what does the nurse need to do?

a. Determine whether the patient has transportation to get home.
b. Evaluate whether patient goals and outcomes have been met.
c. Establish whether the patient has a follow-up appointment scheduled.
d. Ensure that the patient's prescriptions have been filled.

Question 2

The client has just been laid off from his job and is very upset about the loss of his position.

In establishing a plan of care for the client, which of the following does the nurse determine as an appropriate outcome for this client with situational low self-esteem? a. The client will recognize his inability to make decisions.
b. The client will respond to anxiety with decreased amounts of stress.
c. The client will use therapeutic communication skills to discuss his needs.
d. The client will discuss a minimum of two areas in which he is functioning well.

medine · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
The nurse needs to evaluate whether goals and outcomes have been met before revising, continuing, or discontinuing a plan of care. The patient needs transportation, but that does not address the patient's mobility status. Whether the patient has a follow-up appointment and ensuring that prescriptions are filled do not evaluate the problem of mobility.

Answer to Question 2

D
An appropriate outcome for the client with situational low self-esteem would be for the client to discuss a minimum of two areas in which he is functioning well.
Expecting that a client will recognize his inability to make decisions would not be an appropriate outcome for the client with low self-esteem. The focus should be on his abilities, not inability.
Expecting that a client will respond to anxiety with decreased amounts of stress does not address the issue of low self-esteem.
Being able to use therapeutic communication is always an asset, but the focus should be on im-proving the client's self-esteem by determining his strengths, recognizing his worth as a person, realizing what he is able to control, and seeking support from others who are having, or had, the same experience.