Author Question: To facilitate change within a community, the nurse working as an effective change agent should: ... (Read 33 times)

genevieve1028 · **on:** Jul 23, 2018

To facilitate change within a community, the nurse working as an effective change agent should:

1. Inform community members how to effectively manage their health needs
2. Work with clients and groups to select alternative health care sites and treatments
3. Formulate decisions for individual clients regarding their health care options
4. Provide instruction in the way the community should address health issues

Question 2

Which of the following statements by the home health nurse best reflects client advocacy in re-sponse to the client's concern over the expense of the therapy?

1. Have you considered the possibility of a renal transplant?
2. This peritoneal dialysis is less expensive than hemodialysis.
3. You must feel awful about this situation, but this is the best course of treatment for you.
4. Let's call the regional dialysis center and explore options for reducing the cost of your home dialysis.

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

Answer to Question 1

ANS: 2
As a change agent, the nurse seeks to implement new and more effective approaches to problems. The nurse creates change by working with and empowering individuals and their families to solve problems or to become instrumental in changing aspects affecting their health care. Telling com-munity members how to manage their health care needs may meet resistance. It also does not enable clients and their families to take responsibility for their health care. Making decisions for clients does not enable individuals to assume responsibility for their health care decisions. The community-based nurse acting as a change agent may be an excellent resource for health infor-mation to members of the community. Ultimately; however, the community members will take an active role to create change for themselves and will assume responsibility for their health care de-cisions.

Answer to Question 2

ANS: 4
Calling the regional dialysis center and exploring options for reducing cost demonstrates the nurse acting as client advocate by identifying and assisting the client in contacting the appropri-ate agency for information and resources to meet the client's needs. Asking the client whether he has considered renal transplantation does not demonstrate client advocacy. Pointing out the dif-ference in cost for dialysis in the home versus the hospital does not meet the client's need to re-duce the expenses of his therapy. The nurse is not demonstrating patient advocacy. Telling the client that this is the best treatment for him does not address his financial concerns. The nurse is not demonstrating patient advocacy with this response.