The nurse is planning the discharge of a 70-year-old patient who ...

[Coya19@aol.com]

The nurse is planning the discharge of a 70-year-old patient who lives alone and is recovering from a fractured ankle. What action by the nurse shows an understanding of factors affecting the patient's ultimate return to preinjury function?
 
  a. Encourages the patient to comply with recommendations made by the physical therapist
  b. Arranges for the patient's meals to be de-livered daily for several weeks after dis-charge
  c. Assesses the barriers to self-ambulation that exist in the patient's home
  d. Educates the patient on the importance of a diet that promotes both bone and muscle healing

Question 2

A new nurse is caring for a patient from Appalachi
 
  a. The patient seems guarded and secretive, which frustrates the new nurse. What advice from the mentor is most appropriate?
  a. Maybe you should ask to change your assignment.
  b. This is a normal behavior for this pa-tient's cultural group.
  c. You could try to apologize for anything you may have done.
  d. Ask the patient why she is acting so strangely around you.

[bhavsar]

Answer to Question 1

C
In the hospital setting, health care professionals can become so involved in addressing the acute condition that they fail to appreciate the underlying problems and how these too influence the patient's health and recovery. Assessing for ambulation barriers in the patient's home has a long-term effect on the patient's ability to regain independence.

Answer to Question 2

B
Patients from the Appalachian culture are typically wary and guarded around strangers and view the hospital as a place to go and die. The nurse explains this to the new nurse. Changing assign-ments will not help the new nurse become culturally competent. The new nurse could ask the patient if there has been some offense, but this is probably not the case. Why questions put people on the defensive and are not considered examples of therapeutic communication.

[Coya19@aol.com]

Excellent

[pangili4]

Gracias!