Author Question: During an assessment interview, the nurse understands that the client has decided not to take the ... (Read 47 times)

debasdf · **on:** Jul 23, 2018

During an assessment interview, the nurse understands that the client has decided not to take the physician's advice about an elective surgical procedure. The client shares that this is just not part of what I have in mind for my life's goals.

This would fall into which of Gordon's functional health patterns?
1. Cognitive/perceptual pattern
2. Coping/stress-tolerance pattern
3. Health-perception/health-management pattern
4. Value/belief pattern

Question 2

A nursing student is meeting an assigned client for the first time. In order to begin the establishment of rapport, the best statement by the student is:

1. Hello, I'm your nursing student and I'll be helping to take care of you today.
2. You're lucky, you have students and nurses taking care of you today.
3. Good morning, is there anything you need right now?
4. Hi. If you need anything, either your nurse or I will get it for you.

kescobar@64 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 4
Rationale: The value/belief pattern describes the patterns of values, beliefs (including spiritual), and goals that guide the client's choices or decisions. The client in this situation has decided against a surgical procedure because it doesn't coincide with the client's beliefs and goals. Cognitive perceptual patterns describe sensory-perceptual and cognitive patterns. Coping/stress-tolerance patterns describe the client's general coping pattern and the effectiveness of the patterns in terms of stress tolerance. Health-perception/health-management pattern describes the client's perceived pattern of health and well-being and how health is managed.

Answer to Question 2

Correct Answer: 1
Rationale: Establishing rapport is a process of creating goodwill and trust and usually begins with a greeting and self-introduction, accompanied by nonverbal gestures such as a smile, a handshake, and a friendly manner. Telling a hospitalized client he or she is lucky is probably not the best therapeutic comment. Making introductions, especially offering the use of name, is especially good in establishing rapport.