At 9:00 AM you taught a client about the importance of voiding ...

[ssal]

At 9:00 AM you taught a client about the importance of voiding into a collection hat in the bathroom toilet. At 11:00 AM you find the client removed the hat and voided directly into the toilet.
 
  Which of the following statements would be best in charting this failure to follow your directions? a. Uncooperative. Taught to void into collection hat and did not do so.
  b. Voided directly into toilet. Did not use collection hat that was provided.
  c. Exhibiting controlling behaviors. Refused to void in collection hat and voided into toilet; therefore, urine could not be measured.
  d. Did not apparently understand instructions to void in collection hat. Voided into toilet.

Question 2

A preschool child has experienced a severe burn. The nurse is assessing the nutritional needs of this patient. To provide the required nutrition, the nurse:
 
  a. Provides a high-calorie, high-protein diet
  b. Discourages parents from bringing food from home
  c. Provides 3 three large meals each day
  d. Provides a low-calorie, low-protein diet

[nekcihc358]

Answer to Question 1

B

Feedback
A Incorrect. Judgmental statement.
B Correct. A verbal description of what happened without stating a judgment.
C Incorrect. Labeling behavior, not proper for the medical chart.
D Incorrect. Attempt to explain what happened, not a simple description.

Answer to Question 2

A
A child recovering from burns will need a high-calorie, high-protein diet to repair damaged tissues. The nurse would encourage parents to bring a favorite food from home. The nurse would offer small, frequent meals instead of three large meals.