Author Question: Which of the following interventions best reflects the nurse's understanding of direct care ... (Read 9 times)

lbcchick · **on:** Jul 23, 2018

Which of the following interventions best reflects the nurse's understanding of direct care inter-ventions regarding a cognitively impaired client's need for social interaction?

1. Arranging for the client to attend a sing along in the dayroom
2. Helping the client place a long distance telephone call to his daughter
3. Turning the client's television on when his or her favorite program is playing
4. Talking about the client's favorite sport's team while redressing his or her wound

Question 2

The primary reason for the establishment of standing orders is to:

1. Provide appropriate nursing autonomy in settings where client needs can change rapidly
2. Facilitate adequate care when direct contact with a primary health care provider is not immediately possible
3. Allow nurses to provide certain routine therapies without first notifying the pri-mary health care provider
4. Afford the client interventions that reflect the appropriate standard of care in the absence of a primary health care provider

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

Answer to Question 1

ANS: 4
Direct care interventions are treatments performed through interactions with clients. Actively engaging in a conversation with the client is the best direct care intervention and so demonstrates the best understanding of the concept. Facilitating interaction does not have as much impact as being actively involved. Turning on the TV is an example of an indirect care intervention.

Answer to Question 2

ANS: 1
Licensed prescribing physicians or health care providers in charge of care at the time of imple-mentation approve and sign standing orders. These orders are common in critical care settings and other specialized practice settings where clients' needs change rapidly and require immediate attention, thus providing for nursing autonomy to assess and implement appropriate care.