The nurse is caring for a client with rheumatoid arthritis who ...

[Lobcity]

The nurse is caring for a client with rheumatoid arthritis who expresses the desire to remain active as long as possible. In order for the client to meet this goal, what should the nurse prepare to do?
 
  A) Teach the client nutrition and joint exercises.
  B) Ask the client the reason for the decision.
  C) Tell the client there is no hope.
  D) Refer the client to the appropriate professionals.

Question 2

During a performance appraisal, a unit manager praises a staff nurse on the ability to use presencing when caring for terminally ill clients. What did the nurse demonstrate that would exemplify this caring behavior?
 
  Select all that apply.
  A) Face-to-face discussions with clients
  B) Instructing clients on how they should perform certain functions
  C) Sitting quietly with clients
  D) Taking the time to hold a client's hand
  E) Guaranteeing quality and safety in care

[tanna.moeller]

Answer to Question 1

Answer: D

The number of clients with chronic diseases with healthcare needs is increasing rapidly, and nurses and primary healthcare providers cannot meet all of these clients' needs. When a client expresses the desire to live as normally as possible, the nurse should refer the client to professionals who can help the client meet that goal. The nurse can teach some nutrition and exercise but cannot go into the depth that this client would need. The client with a chronic disease should not be told there is no hope but should be helped toward reaching desired goals. Asking the client the reason for the decision is irrelevant to the situation.

Answer to Question 2

Answer: A, C, D

Presencing is a nursing concept that involves the interpersonal arts of perception and communication. Presencing is described as face-to-face discussions, silent immersions, and lingering presence. In this sort of interaction, the nurse lets the other lead, which could involve dialoguing, simply being there (even if silently), and leaving a lasting memory of the interaction in the client's mind. Instructing clients on how they should perform certain functions empowers the client. Guaranteeing quality and safety in care demonstrates competence.