Author Question: A client is admitted for complications following a routine diagnostic procedure of the colon. The ... (Read 116 times)

asd123 · **on:** Jul 23, 2018

A client is admitted for complications following a routine diagnostic procedure of the colon. The type of care plan that will most likely be implemented for this client is the:

1. Informal nursing care plan
2. Formal nursing care plan
3. Standardized care plan
4. Individualized care plan

Question 2

The client is admitted to a comprehensive rehabilitation center for continuing care following a motor vehicle crash. While the admitting nurse will develop the initial plan of carewho will be involved with the ongoing planning of this client's care?

1. The admitting nurse continues to assume that responsible
2. All nurses who work with the client
3. Everybody involved in this client's care
4. The client and the client's support system

stano32 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale 1: An informal nursing care plan is a strategy for action that exists only in the nurse's mind this does not meet the needs expressed in the item.
Rationale 2: A formal nursing care plan is a written or computerized guide that organizes information about the client's care this does not meet the needs expressed in the item...
Rationale 3: A standardized care plan is a formal plan that specifies the nursing care for groups of clients with common needs.
Rationale 4: An individualized care plan is tailored to meet the unique needs of a specific clientneeds that are not addressed by the standardized care plan. In this situation, the client had complications following a relatively routine proceduresomething that is unplanned and a rare occurrence and must fit with the needs of the client..

Answer to Question 2

Correct Answer: 3
Rationale 1: The continuation of the client's care plan is not the sole responsibility of the admitting nurse.
Rationale 2: While this is true, there is another option that better answers the item.
Rationale 3: Planning is basically the nurse's responsibility but input from the client and support persons is essential if a plan is to be effective. In this case, therapies from other disciplines (occupational, physical, speech, etc.) would be involved since the client is in a comprehensive rehabilitation center. The client's support people and caregivers are also going to be involved in the plan of care, but not exclusively.
Rationale 4: While it is important for the client and the client's support people and caregivers be involved in the plan of care, there is an option that better answers this item.