This topic contains a solution. Click here to go to the answer

Author Question: A nurse is caring for a client who experienced short-term memory loss as a result of a head injury. ... (Read 82 times)

HCHenry

  • Hero Member
  • *****
  • Posts: 591
A nurse is caring for a client who experienced short-term memory loss as a result of a head injury. Which of the following statements made by the nurse regarding goal setting requires follow-up by the nurse manager?
 
  1. The client will certainly need frequent reorientation to the care plan goals.
  2. I will restate the goals I've created for him regularly so as to win his compli-ance.
  3. I'm not sure that his family will be able to support him with these goals but I will discuss it with them.
  4. He seems very willing to work towards achieving his goals but his condition will certainly create barriers.

Question 2

The expected outcome that best evaluates the presurgical goal of, Client will understand pur-pose of coughing and deep breathing within 4 hours of returning to room is:
 
  1. Client will demonstrate proper technique for coughing and deep breathing
  2. Client will cough and deep breathe every 1 hour while awake without staff prompting
  3. Client is capable of restating the purpose of coughing and deep breathing in own words
  4. Client's lungs will be free of abnormal breath sounds within 1 hour of being re-turned to room



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

srodz

  • Sr. Member
  • ****
  • Posts: 333
Answer to Question 1

ANS: 2
If a client or significant other is not able to participate in goal development, you assume responsi-bility until the client is able to participate. It is vital that to the degree that the client is capable, the client be included in the decision-making process. Frequent reorientation to the care plan goals may be true and so does not require follow-up. The nurse seems pessimistic about the fami-ly's ability to play a role in the client's care plan but declares that an attempt will be made to in-clude them; so follow-up is not an immediate priority. The client seems very willing to work to-wards achieving his goals may be true and so does not require follow-up because there is no in-dication of the nurse's intention to minimize his participation.

Answer to Question 2

ANS: 2
An expected outcome is a criteria designed to evaluate the achievement of the stated goal. This option best represents evaluation of the client's understanding of the purpose of deep breathing and coughing because it shows appropriate compliance. Although demonstration evaluates the proper technique, it is not the best option to evaluate understanding of purpose. Although re-statement evaluates understanding, it is not the best option to evaluate understanding of purpose because it does not include client compliance. The client's lungs being free of abnormal breath sounds within 1 hour is more reflective of a goal than of an expected outcome.




HCHenry

  • Member
  • Posts: 591
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)


Laurenleakan

  • Member
  • Posts: 309
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

The average office desk has 400 times more bacteria on it than a toilet.

Did you know?

Illicit drug use costs the United States approximately $181 billion every year.

Did you know?

Giardia is one of the most common intestinal parasites worldwide, and infects up to 20% of the world population, mostly in poorer countries with inadequate sanitation. Infections are most common in children, though chronic Giardia is more common in adults.

Did you know?

Certain rare plants containing cyanide include apricot pits and a type of potato called cassava. Fortunately, only chronic or massive ingestion of any of these plants can lead to serious poisoning.

Did you know?

Certain topical medications such as clotrimazole and betamethasone are not approved for use in children younger than 12 years of age. They must be used very cautiously, as directed by a doctor, to treat any child. Children have a much greater response to topical steroid medications.

For a complete list of videos, visit our video library