During a home care visit, an older adult client begins to cry ...

[amal]

During a home care visit, an older adult client begins to cry softly when asked about coping with back pain.
 
  The client states, My back hurts bad all the time and I am so confused about all these tests and scared that the doctor wants me to have surgery Which is the priority intervention by the nurse?
  A) Ask the client to rate pain on a scale of 1 to 10.
  B) Explain procedures in a way the client will understand.
  C) Administer an ordered pain medication.
  D) Attentively listen to the client's thoughts and fears.

Question 2

The mother of a preadolescent client meets with the school nurse to discuss the recent diagnosis of scoliosis. The mother shares that she is worried that her child wants to start home schooling due to the need to wear a brace.
 
  Which interventions will support the nursing diagnosis of Disturbed Body Image related to deformity and brace?
  Select all that apply.
  A) Include the student and family in a meeting to elicit her feelings about scoliosis and wearing a brace.
  B) Offer to arrange a meeting for the student with an 8th grader who has scoliosis.
  C) Encourage the student and family to register for home schooling and minimize risk of ridicule.
  D) Teach the student and family about clothing that will hide the brace.
  E) Suggest that the pediatrician prescribe an anti-anxiety agent for the student.

[jackie]

Answer to Question 1

Answer: B

The priority caring intervention in a client who is ready to disclose emotions is to attentively listen to the client's thoughts and fears. Each of the other choices is appropriate at some point on the care continuum.

Answer to Question 2

Answer: A, B, D

Important interventions for disturbed body image are attentive listening, offering a support group or person, and teaching the student and family about clothes that will hide the brace. Avoiding other children and community encounters will create a risk of social isolation. There is not enough information to indicate a problem requiring pharmacologic management.

[amal]

Excellent

[Sarahjh]

TYSM