Organizations that report actual or potential health problems of ...

[RRMR]

Organizations that report actual or potential health problems of the elderly have been contacted to attend a community meeting to report the findings of the community assessment.
 
  According to Reinkemeyer's stages of planned change, when would this report be implemented?
 
  A) Stage 1: Identification and development of a felt Need and desire for the change
  B) Stage 2: Development of a change relationship between the community health nurse and the community
  C) Stage 3: Clarification or diagnosis of the community's problem, need, or objective
  D) Stage 4: Examination of alternative routes and tentative goals and intention of actions

Question 2

A community health nurse is taking care of a client in the community who has severe diarrhea. A nursing diagnosis of fluid volume deficit related to active fluid loss as manifested by diarrhea has been identified for this client.
 
  What is an appropriately written measurable goal for this diagnosis?
 
  A) The client will understand the importance of drinking more fluids by tomorrow.
  B) The client will have fewer episodes of diarrhea in 24 hours.
  C) The client will be aware that moist mucous membranes indicate resolution of fluid volume deficit.
  D) The client will increase fluid intake to at least 1,500 mL within 1 day.

[kescobar@64]

Answer to Question 1

Ans: A
To initiate a felt need and desire for change within a community, those organizations that report actual or potential health concerns are contacted, and a meeting is scheduled to report the findings of the community assessment; this occurs during stage 1.

Answer to Question 2

Ans: D
The written goal must be specific with observable outcomes in order for the community health nurse to evaluate progress. Modifiers such as know, aware, and realize are less precise terms that have many interpretations. To increase or decrease by a specific percentage is a more precise term that has fewer interpretations. Each goal and objective should include a time frame for attaining the change (e.g., By June 15th ); the direction and magnitude of the change (e.g., Increase immunization levels to 95); the method of measuring the change (e.g., After the session, each participant will demonstrate ___).

[RRMR]

Excellent

[tuate]

Gracias!