Author Question: After completing an initial assessment, the nurse identifies teaching that the client will need. Why ... (Read 58 times)

fahad · **on:** Jul 23, 2018

After completing an initial assessment, the nurse identifies teaching that the client will need. Why did the nurse identify learning needs for this client?

1. Lack of knowledge related to health conditions and self-care
2. The fact that there is little time to complete education in the acute care setting
3. The fact that teaching someone who is willing to learn is easier in the home
4. The need for reimbursement for education by Medicare

Question 2

The nurse is concerned that the spouse of a home care client with multiple sclerosis is experiencing caregiver role strain. What did the nurse observe to come to this conclusion?

1. The home appears cluttered.
2. The spouse expresses feelings of anger.
3. The spouse reports decreased energy.
4. The spouse reports that she is learning how to manage finances.
5. The client asks when the nurse will return for the next visit.

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

Answer to Question 1

Correct Answer: 1
Rationale 1: One of the most common health issues that nurses address with clients in home care settings is lack of knowledge related to health conditions and self-care. Client education is considered a skill reimbursed by Medicare.
Rationale 2: Although this may be true in some situations, it is not the reason that education is a focus of home health nursing care. Not all home care clients come from acute care, and education is still implemented in this setting.
Rationale 3: Not all home clients are willing or ready to learn, even though they are in their own home environment.
Rationale 4: Client education is considered a skill reimbursed by Medicare.

Answer to Question 2

Correct Answer: 2, 3
Rationale 1: Evidence of caregiver role strain would be dramatic change in the home environment's appearance. Clutter would not be a dramatic change.
Rationale 2: Feelings of anger are evidence of caregiver role strain.
Rationale 3: Reports of declining physical energy and insufficient time for caregiving indicate caregiver role strain.
Rationale 4: Learning how to manage finances is a positive statement and would not indicate caregiver role strain.
Rationale 5: Asking when the nurse will make the next visit is not an indication of caregiver role strain.