According to the care plan, a client is to receive chest ...

[beccaep]

According to the care plan, a client is to receive chest physiotherapy twice daily. The client lives alone in a rural area, does not drive, and is 40 miles away from a hospital. What should the home care nurse do when setting priorities for this client?
 
  1. Make sure that he or she is able to get to the client's home.
  2. Assist the client in finding an alternative plan for the achieving the therapy's outcomes.
  3. Tell the client that this therapy will be impossible to receive.
  4. Make arrangements to have the client moved to a long-term care facility.

Question 2

The nurse being oriented to a new position is reviewing the hospital's standards of care, standardized care plans, protocols, policies, and procedures. For which reasons should the nurse realize that these documents are being used by the nursing staff?
 
  1. Making sure all clients have the same types of care
  2. Ensuring that minimally accepted standards are met
  3. Promoting efficient use of the nurse's time
  4. Eliminating care disparities among clients
  5. Ensuring medication errors do not occur

[elizabethrperez]

Answer to Question 1

Correct Answer: 2
Rationale 1: Driving 80 miles two times a day may not be feasible, but perhaps there are other alternatives that could be considered.
Rationale 2: The nurse must consider a variety of factors when assigning priorities, including resources available to the nurse and client. Factors in this case include the distance between the client's home and the hospital and the fact that therapy is ordered on a twice-daily basis. Driving 80 miles two times a day may not be feasible, but perhaps there are other alternatives that could be considered (e.g., a neighbor who might be willing to drive the client, or someone in the area who may be able to assist with the therapy).
Rationale 3: Telling the client that the therapy is impossible is premature at this point in time.
Rationale 4: Making arrangements for the client to move is premature at this point in time.

Answer to Question 2

Correct Answer: 2, 3
Rationale 1: Ensuring that all clients receive the same type of care is not appropriate, as care must be individualized to meet the client's needs.
Rationale 2: Standards of care, standardized care plans, protocols, policies, and procedures are developed and accepted by the nursing staff in order to ensure that minimally acceptable criteria are met.
Rationale 3: Standards of care, standardized care plans, protocols, policies, and procedures are developed and accepted by the nursing staff in order to promote efficient use of nurses' time by removing the need to author common activities that are done repeatedly for many of the clients on a nursing unit.
Rationale 4: Standardized documents will not eliminate care disparities among clients.
Rationale 5: Standardized documents will not ensure that medication errors do not occur.

[beccaep]

Excellent

[JCABRERA33]

TYSM