The nurse caring for wheelchair-dependent residents of a ...

[Caiter2013]

The nurse caring for wheelchair-dependent residents of a long-term care environment has developed a care plan that includes taking the clients outside and assisting them in planting and maintaining a garden. What is the best rationale for this plan?
 
  1. Accreditation agencies require that the residents have regular outings.
  2. Keeping in touch with nature is a form of spiritual care.
  3. Fresh vegetables from the garden are good sources of nutritional fiber.
  4. Sunshine helps activate vitamin D.

Question 2

The client tells the nurse, I don't know what to do. The treatment plan my physician has suggested is against some of my religious beliefs. What nursing diagnosis problem statement should the nurse identify as appropriate for this client?
 
  1. Ineffective Coping
  2. Decisional Conflict
  3. Impaired Religiosity
  4. Anxiety

[orangecrush]

Answer to Question 1

Correct Answer: 2
Rationale 1: This may or may not be true.
Rationale 2: Keeping in touch with nature is a form of spiritual care for these residents.
Rationale 3: Although this might be true, this is not the rationale for this intervention.
Rationale 4: Although this might be true, this is not the rationale for this intervention.

Answer to Question 2

Correct Answer: 2
Rationale 1: There is no evidence that this client is coping ineffectively.
Rationale 2: For this situation, the best nursing diagnosis problem statement is Decisional Conflict. This client will be called upon to make a decision between two highly regarded but conflicting plans.
Rationale 3: Impaired Religiosity is impairment of the ability to exercise religious beliefs, which has not yet occurred in this situation.
Rationale 4: Although there may be some anxiety, that nursing diagnosis is not specific to this situation.