Author Question: A client has been seeing a nurse practitioner for counseling following a rape. A long-term goal for ... (Read 149 times)

tuffie · **on:** Jul 23, 2018

A client has been seeing a nurse practitioner for counseling following a rape. A long-term goal for this client would be which of the following?

1. Client will devise a list of phone numbers for support people.
2. Client will be able to share feelings of fear with counselor.
3. Client will return to level of purpose and functioning as before the rape.
4. Client will state signs and symptoms of physical trauma.

Question 2

A nurse helping a client with care planning following a surgery which resulted in a permanent colostomy would consider a short-term goal requiring the client to:

1. Be able to state signs and symptoms of skin breakdown.
2. Have a formed bowel movement every 2 days.
3. Identify food sources that are problematic for the situation.
4. Maintain a positive self-esteem.

meow1234 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Short-term goals are those that the client can implement in the first few days following the rape such as devising a lost of support persons.
Rationale 2: Short-term goals are tthose that the client can implement in the first few days following the rape such as sharing feelings.
Rationale 3: Clients who have been raped may require extensive counseling and therapy work to deal with the assault. Since this is not immediately achievable, it is considered a ling term goal.
Rationale 4: Short-term goals are those that the client can implement in the first few days following the rape such as stating the signs and symptoms of physical trauma.

Answer to Question 2

Correct Answer: 1
Rationale 1: Initially, a client with a new colostomy must be aware of the signs and symptoms of skin breakdown and have a good knowledge base about basic skin care regimen. This should be accomplished before the client leaves the hospital in order to prevent problems at home.
Rationale 2: Normal bowel elimination patterns may not be present for some time, depending on the client's diet and activity level. This would be a long-term goal.
Rationale 3: Knowledge about what particular foods may cause problems for this client would be information the client gathers as time goes on.
Rationale 4: Overcoming body image changes for this client may take some time and this would be considered a long-term goal.