The nurse is caring for an older adult client with decreased ...

[nautica902]

The nurse is caring for an older adult client with decreased energy who needs to get up to prevent the development of pressure ulcers. The client is unable to ambulate and wants to be alone. What should the nurse do?
 
  A) Notify the healthcare provider of the client's noncompliance.
  B) Leave the client alone until ready to get out of bed.
  C) Gain knowledge about the client from family to gain compliance.
  D) Proceed to get help to get the client out of bed.

Question 2

A client asks the student nurse to explain the pathophysiology of diabetes. The student nurse does not know the answer to this question. What should the student respond to the client?
 
  A) I do not know, but I will find out.
  B) You'll have to ask the doctor that question.
  C) Why do you need to know that?
  D) I do not know.

[batool]

Answer to Question 1

Answer: C

The nurse would use knowledge and creativity to think critically about getting the client to cooperate with the medical regimen. For example, the nurse would ask the family to become involved in order to gain compliance. It is not an option to leave the client alone and not address some method of ensuring intact skin. The compliance of the client rests with the nurse, not the physician. It would not be a good idea to force the client against the client's will; the nurse would use critical thinking to find another way to meet the goal.

Answer to Question 2

Answer: A

The student nurse best exhibits integrity by admitting not knowing the answer, but offering to find out and get back to the client. Honesty by the student nurse will build trust with the client. Just saying I don't know and leaving it at that will make the nurse appear untrustworthy and possibly uncaring. Questioning the client about the need for the information is defensive and might also be construed as a challenge by the client. Referring the question to the doctor is also not good ethics; nurses need to continue learning throughout their practice.