The nurse is assessing several clients. For which client does ...

[chandani]

The nurse is assessing several clients. For which client does assessment reveal a psychosocial history that may affect the client's outcome?
 
  1. Older adult who recently suffered a stroke, has an unsteady gait, and lives in a two-story home
  2. Middle-aged client with Down syndrome living in a group home
  3. Recently divorced mother of three children with breast cancer
  4. Sixteen-year-old requesting birth control without parental consent
  5. Seven-year-old with asthma in a foster care home

Question 2

A male client comes to the emergency department with chest pain.
 
  Upon assessment the nurse notes that his blood pressure is 210/100 mmHg. The client's wife says to the nurse, He has not been taking his blood pressure medication, and we can afford it. What should the nurse's plan of action include?
  1. Plan to assess the client for any cultural concerns about the medication.
  2. Plan to teach the client the importance of taking his medication.
  3. Plan to assess the client for sexual side effects such as erection difficulty.
  4. Plan to design a teaching plan about medication that includes the client's wife.

[aprice35067]

Answer to Question 1

Correct Answer: 1,2,3
Rationale 1: This client may not be able to return to a home that requires climbing stairs.
Rationale 2: A client with Down Syndrome needs additional care to ensure that treatment outcome is successful.
Rationale 3: This client may be the family's sole provider and may have financial concerns.
Rationale 4: Many teens seek contraception without their parents' consent. This should not have a negative impact on outcome.
Rationale 5: Residing in foster care should not have a negative impact on outcome.
Global Rationale: The older adult client who suffered a strok may not be able to return to a home that requires climbing stairs. A client with Down Syndrome needs additional care to ensure that treatment outcome is successful. The divorced mother recently diagnosed with breast cancer may be the family's sole provider and may have financial concerns. Many teens seek contraception without their parents' consent. This should not have a negative impact on outcome. Residing in foster care should not have a negative impact on outcome.

Answer to Question 2

Correct Answer: 3
Rationale 1: Assessment of cultural beliefs is important, but with medications, assessment of side effects is initially more important.
Rationale 2: It is premature to teach the importance of medication to the client without first assessing the reason for noncompliance.
Rationale 3: A common side effect of antihypertensive medication in males is sexual difficulty, such as erection problems.
Rationale 4: It is premature to talk to the client's wife.
Global Rationale: A common side effect of antihypertensive medication in males is sexual difficulty, such as erection problems. Assessment of cultural beliefs is important, but with medications, assessment of side effects is initially more important. It is premature to teach the importance of medication to the client without first assessing the reason for noncompliance. It is premature to talk to the client's wife.

[chandani]

Excellent

[Sarahjh]

Gracias!