Answer to Question 1
Correct Answer: 4
Rationale: The value/belief pattern describes the patterns of values, beliefs (including spiritual), and goals that guide the client's choices or decisions. The client in this situation has decided against a surgical procedure because it doesn't coincide with the client's beliefs and goals. Cognitive perceptual patterns describe sensory-perceptual and cognitive patterns. Coping/stress-tolerance patterns describe the client's general coping pattern and the effectiveness of the patterns in terms of stress tolerance. Health-perception/health-management pattern describes the client's perceived pattern of health and well-being and how health is managed.
Answer to Question 2
Correct Answer: 1
Rationale: Establishing rapport is a process of creating goodwill and trust and usually begins with a greeting and self-introduction, accompanied by nonverbal gestures such as a smile, a handshake, and a friendly manner. Telling a hospitalized client he or she is lucky is probably not the best therapeutic comment. Making introductions, especially offering the use of name, is especially good in establishing rapport.
Client on IV patient-controlled analgesia (PCA).
Application of an ostomy bag or pouch: B, An ostomy nurse applying an ostomy bag to a stoma;
Branching logic for assessment
Assessment by Domain
Removing the sheet from underneath the client.
Inspection of client