The nurse is planning the care of a male client who is receiving ...

[yoooooman]

The nurse is planning the care of a male client who is receiving treatment for acute renal failure and who has begun dialysis three times weekly. The nurse has identified the following outcome:
 
  Client will demonstrate the appropriate care of his arteriovenous fistula. This outcome is classified as which of the following?
 
  A) Psychomotor
  B) Affective
  C) Cognitive
  D) Holistic

Question 2

The nurse is caring for a client who has been newly diagnosed with diabetes. One of the outcomes the nurse read on the client's plan of care this morning was: Client will demonstrate correct technique for self-injecting insulin.
 
  The client required insulin prior to his lunch and successfully drew up and administered his insulin while the nurse observed. How should the nurse follow up this observation?
  A) Record an evaluative statement in the client's plan of care.
  B) Remove the outcome from the client's care plan.
  C) Ask the nurse who wrote the plan of care to document this development.
  D) Reassess the client's psychomotor skills at dinner time.

[leeeep]

Answer to Question 1

Ans: A

Psychomotor outcomes describe the client's achievement of new skills, such as the safe and aseptic care of a new fistula. Cognitive outcomes are focused on knowledge and effective outcomes address values, beliefs, and attitudes. Outcomes are not classified as holistic.

Answer to Question 2

Ans: A

The client has successfully met this outcome, and the nurse should note the time and date that it was achieved in the client's plan of care. The outcome should not be removed from the plan of care and it is unnecessary to have the original author of the plan update it. Further observation may or may not be necessary at dinner time, but an evaluative statement should nonetheless be recorded at the present time.

[yoooooman]

TYSM

[debra928]

Excellent