Author Question: The client has his left leg amputated following a motorcycle accident. Which of the following does ... (Read 93 times)

nevelica · **on:** Jul 22, 2018

The client has his left leg amputated following a motorcycle accident. Which of the following does the nurse need to assess when helping this client form realistic goals and strategies?

a. Interests and past accomplishments
b. Spiritual strengths
c. Involvement with significant others
d. Self-concept

Question 2

Among the following nursing skills, which one must be demonstrated to successfully fulfill the role of facilitator?

a. Advocacy
b. Paternalism
c. Autonomy
d. Negotiation

TheNamesImani · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D

Feedback
A Assessing a client's interests and past accomplishments may provide information regarding a client's identity. Identity is only one component of self-concept. The nurse must determine the client's self-concept to get the big picture, as this will greatly affect the client's response to the amputation.
B Spiritual strengths may be important when determining a client's ability to cope. However, when developing goals and implementation strategies, the process will begin with the client's self-concept, as this will greatly affect the client's response to the amputation.
C When assessing coping behaviours of an individual, involvement with significant others may be an indication of available resources, as well as a source of strength for a client.
D What individuals think and how they feel about themselves affect the way in which they care for themselves. A physical change in the body, such as an amputation, can lead to an altered body image affecting identity and self-esteem. The nurse should assess the client's ideal and perceived self-concept in order to help the client establish realistic goals and implementation strategies.

Answer to Question 2

A

Feedback
A Community health nurses work within a participatory process; leadership and advocacy are critical skills needed for the role of facilitator.
B Paternalism is not a skill critically needed for the role of facilitator.
C Autonomy is not a skill critically needed for the role of facilitator.
D Negotiation is a characteristic of appropriate communication skills in community health nursing practice, rather than a reflection of the nurse in the role of facilitator.