Author Question: The nurse is caring for a patient who refuses AM care. When asked why, the patient tells the nurse ... (Read 43 times)

LaDunn · **on:** Jul 22, 2018

The nurse is caring for a patient who refuses AM care. When asked why, the patient tells the nurse that she always bathes in the evening. The nurse should

a. Defer the bath until evening and pass on the information to the next shift.
b. Tell the patient that she must bathe because that is the normal routine.
c. Explain to the patient the importance of maintaining morning hygiene practices.
d. Cancel hygiene for the day and attempt again in the morning.

Question 2

The community has three components: structure or locale, the people, and the social systems. While doing a community assessment, the nurse seeks data on the average household income and the number of residents on public assistance.

In doing so, the nurse is evaluating which of the following? a. Structure
b. Population
c. Welfare system
d. Social system

steff9894 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Each patient has individual desires and preferences about when to bathe, shave, and perform hair care. Knowing the patient's personal preferences assists the nurse in providing individualized care for the patient. Hygiene care is never routine. Maintaining individual personal preferences is important unless new hygiene practices are indicated by an illness or condition. Cancelling hygiene is not an option. Adapting practices to meet individual needs is required. No evidence demonstrates greater benefit with AM or PM hygiene.

Answer to Question 2

A
Economic status is part of the community structure. Population would involve age and gender distribution, growth trends, density, education level, and ethnic or religious groups. The welfare system is part of the social system that also includes the education, government, communication and health systems.