Author Question: The nurse is working with a client who becomes upset and tells the nurse, I've decided to give up on ... (Read 59 times)

roselinechinyere27m · **on:** Jul 19, 2018

The nurse is working with a client who becomes upset and tells the nurse, I've decided to give up on finishing my bachelor's degree.

Which response best reflects the nurse's belief that the client is able to find the solution to this concern? 1. You don't need to make a decision about this right now.
2. It is probably too much for you to handle right now.
3. If you put your mind to it, you could finish the program.
4. It sounds like you feel it is too much for you to finish now.

Question 2

A client with generalized anxiety disorder frequently skips weekly scheduled appointments with a primary nurse therapist in the managed care organization (MCO), showing up only when the client is feeling severely stressed.

Which of the following statements best explains this behavior? 1. The client is aware that MCO's frequently double-book appointments to balance out the no-shows.
2. The client does not have transportation for scheduled appointments with the therapist.
3. MCO consumers do not have to make co-payments for missed appointments.
4. MCO consumers find it easier than non-MCO consumers to not keep scheduled appointments, partly because services are prepaid.

b614102004 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

4
Rationale: Reflecting back to the client what the nurse has heard is a therapeutic technique that facilitates the client's ability to problem-solve. Telling the client that it is probably too much or that the client does not need to make a decision assumes that the nurse knows what the client needs without taking time to explore the client's feelings. Telling the client that success depends on putting one's mind to it suggests that the client is to blame for the decision to give up.

Answer to Question 2

4
Rationale: Perhaps because services are prepaid, MCO consumers find it easier to skip scheduled appointments. This is sometimes referred to as DNKA (did not keep appointment). Some MCOs deal with this problem by not scheduling future appointments until the client makes co-payment for all missed appointments. Transportation problems are a frequent reason for failure to keep appointments; however, this does not seem apparent as the client is able to keep appointments when the client feels it is needed. Most clients are unaware of the scheduling practices of an MCO and do not realize the clinical and administrative importance of missing scheduled appointments.