Which of the following interventions is the best example of an ...

[evelyn o bentley]

Which of the following interventions is the best example of an indirect intervention directed to-wards client safety?
 
  1. Checking on a restrained client every 15 minutes
  2. Performing hand hygiene between client contacts
  3. Including the diagnosis at risk for injury related to falls to a client's care plan
  4. Turning on a night light to illuminate the path to the bathroom

Question 2

For a client with a nursing diagnosis of impaired physical mobility related to bilateral arm casts, the nurse should select which of the following methods of nursing intervention?
 
  1. Teaching
  2. Counseling
  3. Compensating for adverse reactions
  4. Assisting with activities of daily living (ADLs)

[Pamela.irrgang@yahoo.com]

Answer to Question 1

ANS: 4
Indirect care interventions are treatments performed away from the client but on behalf of the client or group of clients. For example, indirect care measures include actions for managing the client's environment (e.g., safety and infection control), documentation, and interdisciplinary collaboration. Directly impacting the light level in a client's room to minimize the risk for falls is the best example of a safety-oriented indirect care intervention. Including a nursing diagnosis regarding falls would also be an example of an indirect care intervention but it is not as actively affecting the client's safety. Checking a restrained client is a direct care intervention because it involves actual client contact, while performing hand hygiene is directed more towards infection control than safety.

Answer to Question 2

ANS: 4
A client with bilateral arm casts has a temporary need for assistance with ADLs. Counseling is a direct care method that helps the client use a problem-solving process to develop new attitudes and feelings. It does not meet the physical need for assistance with ADLs. Teaching is an imple-mentation method used to present correct principles, procedures, and techniques of health care to clients and to inform clients about their health status. Compensating for adverse reactions means the nurse takes action to reduce or counteract the reaction, such as by administering an antihista-mine when a client has an allergic reaction to a medication. Assisting with ADLs would be com-pensating for the client's impaired mobility.

[evelyn o bentley]

TYSM

[flexer1n1]

Gracias!