Author Question: A client did not attend the clinic for required follow-up care after his extensive surgery. Which of ... (Read 91 times)

oliviahorn72 · **on:** Jul 8, 2018

A client did not attend the clinic for required follow-up care after his extensive surgery. Which of the following would be the most appropriate conclusion for the nurse to make?

a. The client is noncompliant.
b. The client is suffering from self-neglect.
c. The health care system is not meeting the client's perceived needs.
d. The health care system is not accessible for the client.
e. The nurse has not motivated the client appropriately.

Question 2

What is the primary problem seen in Healthy People 2020's emphasis on choosing healthy lifestyle behaviors, such as daily exercise or healthy food choices?

a. Emphasis on other lifestyle choices, such as not smoking and minimal use of alcohol or drugs, is also needed.
b. All of us must work together to make unhealthy behaviors socially unacceptable.
c. It costs more to make healthy choices, such as buying and eating fresh fruits and vegetables as opposed to quick and cheap fast-food choices.
d. Public policy emphasizes personal responsibility but ignores social and environmental changes needed for well-being.

robbielu01 · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: C
Although it is easy to blame the patient for being noncompliant or neglecting himself or herself, or to blame the nurse for not educating the patient appropriately, it is equally plausible that the health care system is not meeting the client's perceived needs. Clients can have many reasons for not keeping an appointment, such as family emergencies, lack of funds, or lack of transportation. Sociocultural and ethnic barriers can also be factors. This is part of the health belief model where the premise is that the world of the perceiver determines the action.

Answer to Question 2

ANS: D
Although all responses are accurate, the primary problem is the emphasis on personal choices in the Healthy People 2020 objectives. Emphasis on personal choices ignores the need for community responsibility and action that addresses environmental or cultural restraints to health.