The home health nurse is visiting a family and talking with the ...

[appyboo]

The home health nurse is visiting a family and talking with the parent outside the bathroom door while the toddlers are playing in the tub. The nurse concludes that more teaching is needed when the parent states:
 
  1. Let me get the children out of the tub so we can talk..
   2. Why don't we talk in the bathroom?
   3. I often put the children in the tub to play..
   4. I do not like to leave the children alone in the bathroom..

Question 2

An 88-year-old client is being seen in the clinic by the primary care provider who tells the client that it is no longer safe for the client to drive at night due to the development of night blindness.
 
  Which of the following statements by the client prompts the nurse to plan a family care conference for the client? 1. I will limit my driving to daytime hours..
   2. I expected this to happen, but not right now..
   3. I guess I'll get help when I need to go out at night..
   4. In the summer, I will be able to drive longer..

[meryzewe]

Answer to Question 1

3. I often put the children in the tub to play..

Rationale:
Toddlers are at risk for drowning, even in small amounts of water. The nurse would want to teach the parent who uses the tub as a place for toddlers to play unsupervised. Taking the children out of the tub or talking in the bathroom demonstrates an awareness of the need for supervision for toddlers. The parent who does not leave toddlers along in the bathroom is also demonstrating an awareness of risk.

Answer to Question 2

2. I expected this to happen, but not right now..

Rationale:
The client is not being realistic by stating that this was not expected now. The nurse realizes that he may continue to drive or may become depressed. A family conference could help assist the client to make safe plans for going out at night. Limiting driving to daytime hours, planning for help to go out at night, and anticipating more hours of daytime in the summer demonstrate acceptance and compliance by the client.

[appyboo]

Gracias!

[amcvicar]

TYSM