Author Question: The nurse planning care for a client admitted with a stroke would include which of the following to ... (Read 55 times)

WWatsford · **on:** Jul 22, 2018

The nurse planning care for a client admitted with a stroke would include which of the following to support the client's sensorimotor needs?

1. Provide complete care
2. Encourage use of nonaffected arm to feed self, bathe, and dress
3. Talk loudly and distinctly
4. Speak in normal conversational pattern and tones

Question 2

A nurse has been working with a family at the community health office and is alert to signs of family violence. Which of the following would the nurse be most concerned about, in this regard?

1. The baby always seems to have a cold.
2. One of the children never speaks and seems on guard when in the presence of a parent.
3. The family's clothes are relatively clean, but the children usually have some kind of dirt stain on their shirt or pants.
4. The family does not have a regular physician.

tmlewis4706 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2. Encourage use of nonaffected arm to feed self, bathe, and dress

Rationale:
To address the client's alteration in sensory and motor statuses, the nurse should encourage the client to use the nonaffected arm to feed self, bathe, and dress. The nurse should not provide all care for the client. The nurse should not talk loudly to the client but should articulate slower and face the client when speaking. Speaking in normal conversational patterns and tones may not be adequate when communicating with the client.

Answer to Question 2

2. One of the children never speaks and seems on guard when in the presence of a parent.

Rationale:
Family violence includes abuse between intimate partners, child abuse, and elder abuse, and may include physical, mental, and verbal abuse as well as neglect. A child who does not speak and is watchful when parents are near would be a significant indicator of a possible abuse situation. The nurse, however, must be careful in assessing for this and would possibly want to speak to the child on a one-to-one basis for further assessment information. The baby may have an untreated condition, but chronic cold symptoms are not evidence of abuse. Dirty clothes or clothes not meeting the nurse's standards are not signs of abusemaybe for this family, appearance is not a high priority. Not having a regular physician would be a concern for health promotion and maintenance, but not for abuse.