The nurse identifies the nursing diagnosis risk for injury for a ...

[tichca]

The nurse identifies the nursing diagnosis risk for injury for a client who is unable to verbally communicate effectively. The primary risk for injury occurs because the client:
 
  1. Lacks the ability to tell the staff what he or she needs
  2. Cannot notify the staff when he or she has fallen
  3. Is not able to effectively use the call bell to communicate
  4. Displays impatience when needs are not met effectively

Question 2

Which of the following statements made by a nurse best reflects an understanding of the thera-peutic value of perceived client control?
 
  1. The client was very interested in the information about support groups.
  2. The client fell right to sleep when I told her the procedure was canceled.
  3. Research has shown that clients are less stressed when told what to expect.
  4. I always include the client in on any decisions regarding their nursing care.

[softEldritch]

Answer to Question 1

ANS: 1
The client who cannot communicate effectively will often have difficulty expressing needs and responding appropriately to the environment. A client who is unable to speak is at risk for injury unless the nurse identifies an alternate communication method. The remaining options relate to potential outcomes of ineffective verbal communication but not to the risk for injury.

Answer to Question 2

ANS: 3
Research has shown that personal control over a situation contributes to emotional comfort. By informing the client of expectations, the client's personal sense of control is increased and emo-tional stress should then be decreased. The remaining options show an understanding of emo-tional comfort but do not express an understanding of the origin of that comfort.

[tichca]

TYSM

[lindahyatt42]

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