An older client comes to the health center with vague complaints ...

[dbose]

An older client comes to the health center with vague complaints of abdominal discomfort. Assessment findings include several old and fresh bruises in the abdominal area, and signs of malnutrition.
 
  What is the most appropriate question for the nurse to ask? 1. Are you dieting?
  2. Did you have any falls lately?
  3. Do you have an alcohol problem?
  4. Did anyone hurt you?

Question 2

The nursing student asks the nurse the reason that knowledge of nursing theories is important. The nurse should respond that nurses use nursing theories to do which of the following? Standard Text: Select all that apply.
 
  1. Organize assessment data.
  2. Generate goals.
  3. Evaluate outcomes.
  4. Plan interventions.
  5. Generate nursing actions.

[sultana.d]

Answer to Question 1

4
Rationale: When the nurse suspects abuse, it is important to ask direct questions, such as asking if the client has been hurt by someone. Asking if the client is dieting or has fallen implies that the nurse has made assumptions about the cause of the injuries. An older client, fearful of further abuse, may agree to these suggestions in order to cover up abuse. The question about an alcohol problem carries with it a suggestion that the client is to blame for the injuries.

Answer to Question 2

1,2,4,5
Rationale: Organize assessment data. Nurses use theories to assist them to organize and think about human responses and data in meaningful ways.