The nurse is assisting a client in setting goals as a strategy to ...

[nmorano1]

The nurse is assisting a client in setting goals as a strategy to reinforce strengths. What intervention should the nurse employ?
 
  1. Encourage the client to set attainable goals, even if small.
  2. Help the client choose a significant goal, even if it is time consuming.
  3. Devise a set of goals from which the client can pick.
  4. Advise the client to avoid goals that will require too much effort.

Question 2

During the assessment interview, the client is quiet and answers questions only minimally. What action should the nurse take in regard to this apparent unwillingness to share information?
 
  1. Document that the client is not cooperative.
  2. Consider any cultural implications of these actions.
  3. Assume that the client has something to hide.
  4. Ask another nurse to sit in on the next interview attempt.

[moormoney]

Answer to Question 1

Correct Answer: 1
Rationale 1: When attempting to reinforce client strengths, it is important to help the client set attainable goals, even if the goals are small at first.
Rationale 2: If the goal is too long range, the client may lose sight of the goal before it is attained.
Rationale 3: Devising goals should be a team effort between the client, significant others, and the nurse.
Rationale 4: The goal should not be so effortless that it is not important to the client.

Answer to Question 2

Correct Answer: 2
Rationale 1: Documenting that the client is not cooperative labels the client for all other health care provider interactions.
Rationale 2: The nurse should always consider that there could be a cultural implication to behavior.
Rationale 3: Assuming that the client has something to hide labels the client for all other health care provider interactions.
Rationale 4: Asking a second nurse to sit in on the next interview may make the client feel more intimidated.

[nmorano1]

TYSM

[tuate]

Thanks for the timely response, appreciate it