Author Question: A home care nurse is teaching an older client about colostomy care. The client's wife is taking ... (Read 39 times)

newyorker26 · **on:** Jul 19, 2018

A home care nurse is teaching an older client about colostomy care. The client's wife is taking charge of the irrigations. Both are very anxious.

During the procedure, the wife continually watches the nurse, asking Is this correct? and waits for approval before continuing. Both the client and his wife express how glad they are that the nurse is coming and that they don't know what they will do without the help. Knowing that the goal of care is to promote independence, how will the nurse address these behaviors? Standard Text: Select all that apply. 1. Remind the couple that there are only a few visits left.
2. Tell the husband he has to do the irrigation.
3. Reinforce the wife's competency and the strength of coping as a team.
4. Gradually encourage them to do the procedure on their own, while continuing to provide support.
5. Recognize this passive behavior and take a firm stand against it.

Question 2

A client is admitted to the hospital after being found in a car on the side of a bridge with complaints of having a heart attack. Following extensive tests, it was found the client did not have a heart attack. The client most likely was having:

1. PTSD.
2. Transitory cardiac symptoms.
3. A panic attack.
4. Suicidal feelings.

Andromeda18 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

3,4
Rationale: Remind the couple that there are only a few visits left. Reminding them that there are few visits left will increase their anxiety.

Answer to Question 2

3
Rationale: Heart attack symptoms are a defining feature of a panic attack. PTSD and suicidal feelings do not manifest as a heart attack. The scenario indicates that transitory cardiac symptoms were ruled out by extensive cardiac tests.