Author Question: The nurse is ready to enter into the process of planning care for a client with paranoid ... (Read 46 times)

asan beg · **on:** Jul 19, 2018

The nurse is ready to enter into the process of planning care for a client with paranoid schizo-phrenia. Planning will include:

1. Determining needs and problems
2. Analyzing effectiveness of care
3. Establishing realistic outcome criteria
4. Identifying priorities of care

Question 2

The nurse has planned to confront the client about illicit drug use that occurred when the client was given a pass to leave the hospital the previous day.

As the nurse enters, the client is sobbing and the nurse learns that the client's mother has been hospitalized with a stroke. Which factor will have the greatest influence on modifying the planned interaction?
1. Environmental factors
2. Knowledge
3. Relationship
4. Attitude

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

Answer to Question 1

ANS: 4
Establishing priority nursing diagnoses is part of the process of planning. Option 1 is part of as-sessment. Option 2 is an evaluation activity. Option 3 is part of outcome identification.

Answer to Question 2

ANS: 1
Environmental factors include timing. Timing of confrontation about drug use is important. It should occur when the individual can give full attention to the topic. It would be inappropriate to continue with the plan in the face of the client's distress related to her mother's illness. Options 2, 3, and 4 are factors of lesser influence in this situation.