A home health nurse is admitting a new client to the agency who ...

[appyboo]

A home health nurse is admitting a new client to the agency who was recently discharged from the hospital with a new diagnosis of pulmonary fibrosis. Which does the nurse recognize as a priority for the client's initial follow-up care?
 
  A) The client will be able to set up and administer a nebulizer treatment by the end of the day.
  B) The client will be able to do activities of daily living (ADLs) without shortness of breath in 3 days.
  C) The client will have a positive attitude about the diagnosis by the end of the month.
  D) The client will have increased activity level by the end of the week.

Question 2

The nurse is teaching a client how to properly administer a new medication. The client goal for this teaching is compliance with the medication regimen. Which client statement best illustrates compliance?
 
  A) I already knew most of what you told me.
  B) If I take my medications as prescribed, I'll feel better.
  C) Knowing how to take a new medication properly makes the process much easier.
  D) I think you should have waited until I was ready to go home. Maybe I'd remember better.

[FergA]

Answer to Question 1

Answer: A

Learning outcomes state the client behavior and are ranked according to priority. Nurses can use theoretical frameworks such as Maslow's hierarchy of needs to establish priorities. In this case, the physiological need of learning how to administer medication takes priority over activity and attitudinal needs.

Answer to Question 2

Answer: C

Compliance is best illustrated when the individual recognizes and accepts the need to learn, then follows through with appropriate behaviors that reflect learning. Learning about the medications helps the client understand why they are prescribed and improves the possibility for following the prescribed regimen. Statements of prior knowledge do not necessarily lead to compliance, and neither does merely following the advice of the healthcare prescriber.

[appyboo]

Excellent

[jackie]

Thanks for the timely response, appreciate it