The nurse admits a client to a psychiatric facility and plans to ...

[kellyjaisingh]

The nurse admits a client to a psychiatric facility and plans to conduct a psychosocial assessment. Which assessment tools are appropriate for the nurse to use to collect this data?
 
  Select all that apply.
  1. Healthy Day Measures.
  2. Multidimensional Health Profile.
  3. Emotional Readiness Assessment Profile.
  4. Holmes Social Readjustment Scale.
  5. Duke Social Support and Stress Scale.

Question 2

The nurse is reviewing the plan of care for a client and notes that the following goal has not been met:
 
  Client will verbalize three positive things about himself. Which action by the nurse is the most appropriate?
  1. Tell the client three things that he does well.
  2. Ask other clients to tell the client what he does well.
  3. Determine barriers to achieving the goal.
  4. Do nothing as long as the client appears better.

[patma1981]

Answer to Question 1

Correct Answer: 1, 2, 4, 5

The Healthy Day Measures is used by the Centers for Disease Control and Prevention. The scale is used to measure the quality of life. The Multidimensional Health Profile is a tool used to assess psychosocial problems. The tool specifically targets stress, coping, social supports, and mental health. The Holmes Social Readjustment Scale is used to measure the stressors in a client's life. The Duke Social Support and Stress scale is an instrument to measure family and nonfamily support and stress. The Emotional Readiness Scale is not a true test, and therefore not a valid test to assess psychosocial variables in a client.

Answer to Question 2

Correct Answer: 3

The nursing process must be approached in a cyclic and systematic fashion in order to best meet the identified needs of clients. When goals are not met within established time frames, the nurse must examine potential reasons for this and develop new interventions and time frames for goal achievement. The goal statements are based upon the client's achievements. Telling the client things that he does well will not aid in the achievement of the goal. Involving other clients in the plan of care may be a violation of the client's privacy and is not appropriate. Ignoring the absence of progression toward the established goal will not aid the client in improving.

[kellyjaisingh]

TYSM

[6ana001]

Gracias!