Author Question: The nurse is collecting information to plan care for a client with a heart problem. Which ... (Read 33 times)

s.tung · **on:** Jul 23, 2018

The nurse is collecting information to plan care for a client with a heart problem. Which information indicates that planning for this client's discharge was started by the nurse?

1. The client is scheduled for cardiac catheterization and echocardiogram.
2. Recent laboratory data indicates the development of heart failure.
3. The client does not have a scale to perform daily weights at home.
4. The client's spouse has care needs that the client will not be able to complete going forward.
5. The client is pleasant and eager to learn how to control newly diagnosed health problem.

Question 2

The nurse is reviewing a client's plan of care. Which statements indicate that this care plan has been completed accurately and appropriately?

1. Ineffective coping related to drug abuse as evidenced by drug overdose.
2. The client will identify two healthy coping mechanisms by time of discharge.
3. The client has identified two health coping mechanisms to replace inappropriate drug use.
4. The client will be provided with guidance in identifying healthy coping mechanisms.
5. The client has apologized to his family for drug abuse behaviors.

ladyjames123 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3, 4

Rationale 1: The client's current treatment plan is not a part of discharge planning.

Rationale 2: The client's current health status is not a part of discharge planning.

Rationale 3: Effective discharge planning begins at first client contact and involves comprehensive and ongoing assessment to obtain information about the client's ongoing needs. The lack of a scale at home for daily weights indicates that the nurse is planning ahead for the client's needs once discharged.

Rationale 4: Effective discharge planning begins at first client contact and involves comprehensive and ongoing assessment to obtain information about the client's ongoing needs. Concern about the client's activity level at home indicates planning ahead for the client's needs once discharged.

Rationale 5: The client's personality and desire to learn more about the health problem is not a part of discharge planning.

Answer to Question 2

Correct Answer: 1, 2, 3, 4
Rationale 1: The care plan is often organized into sections that include nursing diagnoses.
Rationale 2: The care plan is often organized into sections that include goals/outcomes.
Rationale 3: The care plan is often organized into sections that include evaluations.
Rationale 4: The care plan is often organized into sections that include nursing interventions.
Rationale 5: Although this might be a desirable behavior, it is not written as a goal.