Author Question: During a visit to the home of a client newly diagnosed with diabetes the nurse notes that the client ... (Read 115 times)

sam.t96 · **on:** Jul 8, 2018

During a visit to the home of a client newly diagnosed with diabetes the nurse notes that the client constantly answers the cell phone and has conversations with those callers, which interrupts teaching. The client apologizes after each call.

During a visit to the home of a client newly diagnosed with diabetes the nurse notes that the client constantly answers the cell phone and has conversations with those callers, which interrupts teaching. The client apologizes after each call. What action should the nurse take?
1. Request that the client not answer the cell phone.
2. Leave some pamphlets for the client to read.
3. Have the client repeat back the information the nurse has given.
4. Ask the client if another time would be better to complete this teaching.

Question 2

A client receiving telephonic care visits with a population health nurse asks why a home visit is needed after hospitalization. What should the population health nurse explain to the client?

1. Home care is a subspecialty of population health care.
2. The home care nurse reports to the population health nurse.
3. A home visit is the only way that the population health nurse will be paid.
4. The client is extremely ill and the population health nurse needs someone to make an assessment.

hanadaa · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

Answer: 4
Explanation: 4. Asking the client if there is a better time to do this teaching subtly conveys to the client that the calls are distracting and also gives the client control over the timing of the teaching. Distractions such as continuous calls can be frustrating to the nurse and can impede teaching. Requesting the client not to answer the cell phone is appropriate but may anger the client, which will impede any learning. Leaving pamphlets for the client to read may not impart the necessary information the client needs to understand diabetes. Having the client repeat back the information the nurse has given would provide an understanding to the nurse of what has been taught but may also give the impression to the client that the nurse feels the client has not understood the teaching.

Answer to Question 2

Answer: 1
Explanation: 1. Home health is actually a subspecialty within population health nursing in which the primary, but not sole, focus is on resolution of existing health problems and health restoration. Effective home health nurses, who provide holistic nursing care, employ principles of population health nursing within the segment of the population that is ill. The home care nurse does not report to the population health nurse. A home visit is not being done so that the population health nurse can be paid. There is no evidence to support that the client is extremely ill or that the population nurse needs someone to assess the patient at home.