Author Question: A client, being discharged after a myocardial infarction, has been prescribed several new ... (Read 117 times)

kodithompson · **on:** Jul 23, 2018

A client, being discharged after a myocardial infarction, has been prescribed several new medications and a low-fat diet. The client states: I'm never going to understand what to do, when to do it, and why I should be doing all these things.

The nurse formulates which of the following diagnoses for this client's situation?
1. Health-Seeking Behavior related to desire to prevent heart problems
2. Deficient Knowledge (diet and medication regimen) related to inexperience
3. Noncompliance related to situational factors
4. Risk for Myocardial Infarction related to deficient knowledge

Question 2

A client has been diagnosed with diabetes mellitus and must learn how to do his own finger stick blood sugar analysis as part of his treatment. The client has been sullen and uncommunicative since receiving the diagnosis.

How can the nurse best increase the client's motivation to learn?
1. Demonstrating the finger stick on the nurse
2. Offering to do the procedure for the client each time it is scheduled
3. Teaching the client's support system how to perform the procedure
4. Encouraging the client's participation each time the procedure is performed

tanna.moeller · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: Health-Seeking Behavior is a diagnostic label used when the client is seeking health information.
Rationale 2: The NANDA label Deficient Knowledge is used when the client is seeking health information or when the nurse has identified a learning need, as in this case. The area of deficiency (diet and medication regimen) should always be included in the diagnosis.
Rationale 3: Noncompliance is used when the client or caregiver fails to follow a plan, which is too early to tell in this case.
Rationale 4: Risk for Myocardial Infarction is not a NANDA label. If a risk exists, the label could be Risk for Noncompliance related to deficient knowledge.

Answer to Question 2

Correct Answer: 4
Rationale 1: Demonstrating the procedure on the nurse may or may not help the client become interested in the learning process.
Rationale 2: Offering to do the procedure only allows the client's current state of mind to continue.
Rationale 3: Giving the responsibility to someone else does not encourage the client to learn it.
Rationale 4: Nurses can increase a client's motivation in several ways, including encouragement of self-direction and independence.