Category: A nurse is planning care for a client who is

A nurse is planning care for a client who is

The home care nurse is visiting an older client whose spouse died 6 months ago. Which behavior by the client indicates ineffective coping? Neglecting personal grooming 2.

Concept Mapping: A Nursing Model for Care Planning

Looking at old snapshots of family 3. Participating in a senior citizens' program 4. Visiting their spouse's grave once a month.

a nurse is planning care for a client who is

A client with a diagnosis of major depression who has attempted suicide says to the nurse, "I should have died. I've always been a failure. Nothing ever goes right for me.

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When the mental health nurse visits a client at home, the client states, "I haven't slept at all the last couple of nights. A client experiencing disturbed thought processes believes that his food is being poisoned. Which communication technique should the nurse use to encourage the client to eat? Using open-ended questions and silence 2. Sharing personal preference regarding food choices 3. Documenting reasons why the client does not want to eat 4. Offering opinions about the necessity of adequate nutrition.

A client admitted to a mental health unit for treatment of psychotic behavior spends hours at the locked exit door shouting, "Let me out. There's nothing wrong with me. I don't belong here. Denial 2. Projection 3. Regression 4. A client diagnosed with terminal cancer says to the nurse, "I'm going to die, and I wish my family would stop hoping for a cure!

I get so angry when they carry on like this. After all, I'm the one who's dying. On review of the client's record, the nurse notes that the mental health admission was voluntary. Based on this information, the nurse anticipates which client behavior? Fearfulness regarding treatment measures. Anger and aggressiveness directed toward others.

An understanding of the pathology and symptoms of the diagnosis. A willingness to participate in the planning of the care and treatment plan. When reviewing the admission assessment, the nurse notes that a client was admitted to the mental health unit involuntarily. Based on this type of admission, the nurse should provide which intervention for this client?The articles prior to January are part of the back file collection and are not available with a current paid subscription.

To access the article, you may purchase it or purchase the complete back file collection here. Concept mapping has many applications and has been used as an effective teaching strategy in nursing and other disciplines to evaluate both content knowledge and student thinking patterns.

Previous applications related to nursing care planning usually organize client information around a medical diagnosis. The approach described is focused around the reason for nursing care and a holistic nursing view of the client, rather than a disease model.

Students use a software program to cluster and sort assessment data to identify client problems and describe relationships between the problems. The process is dynamic and flexible, prompting students to identify gaps in information, consider salience, and understand the complexity of the particular client situation. It teaches critical thinking skills and nursing theory, develops competence with technology, and fosters effective interchange between faculty and students.

Taylor is Professor and Dr. Tell us what you think about Healio. Login Register My Saved. News CME Journals. Journal of Nursing Education The articles prior to January are part of the back file collection and are not available with a current paid subscription. View PDF. Abstract ABSTRACT Concept mapping has many applications and has been used as an effective teaching strategy in nursing and other disciplines to evaluate both content knowledge and student thinking patterns.

Full Text. Previous Article. Next Article. Submit an Article. Information for Authors. Sign up to receive Journal E-contents Sign Up. Follow Healio. Sign Up for Email Get the latest news and education delivered to your inbox Email address. Account Information.COM : Let's not stop this free answers ride in this Crisis.

Buy me a coffee! No minimum threshold! Post a Comment. Donate Now! Enter Another Question. What should the nurse do? Answer: Provide close supervision because of the client's impulsiveness and poor judgment. The nurse is planning care for a client who suffered a stroke in the right hemisphere of his brain. Anticipate that the client will exhibit some degree of expressive or receptive aphasia.

Writing a Nursing Care Plan Under 10 Minutes (nursing care plan tutorial)

Place the wheelchair on his left side when transferring the client into a wheelchair. A nurse is planning care for a client who experienced a stroke in the right hemisphere of his brain. Anticipate the client will exhibit some degree of expressive or receptive aphasia. Provide close supervision because of the … The nurse is planning care for a client who suffered a stroke in the right hemisphere of his brain. Provide close supervision becaus Now its your turn, "The more we share The more we have".

Comment any other details to improve the description, we will update answer while you visit us next time Kindly check our comments section, Sometimes our tool may wrong but not our users. No comments:.

Newer Post Older Post Home. Subscribe to: Post Comments Atom.Components, examples, objectives, and purposes of a care plan are included together with an elaborate guide on how to write an awesome nursing care plan or a template for your unit. Care plans also provide a means of communication among nurses, their patients, and other healthcare providers to achieve health care outcomes. Planning and delivering individualized or patient-centered care is the basis for excellence in nursing practice.

Individualized care plans are tailored to meet the unique needs of a specific client or needs that are not addressed by the standardized care plan. A nursing care plan NCP usually includes nursing diagnoses, client problems, expected outcomes, and nursing interventions and rationales.

These components are elaborated below:. Nursing care plan formats are usually categorized or organized into four columns: 1 nursing diagnoses, 2 desired outcomes and goals, 3 nursing interventions, and 4 evaluation. Some agencies use a three-column plan wherein goals and evaluation are in the same column. Other agencies have a five-column plan that includes a column for assessment cues.

Below is a document containing sample templates for the different nursing care plan formats. Please feel free to edit, modify, and share the template. Student care plans are more lengthy and detailed than care plans used by working nurses because they are a learning activity for the students. Rationales are scientific principles that explains the reasons for selecting a particular nursing interventions.

How do you write a nursing care plan NCP? Just follow the steps below to develop a care plan for your client. The first step in writing a nursing care plan is to create a client database using assessment techniques and data collection methods physical assessment, health history, interview, medical records review, diagnostic studies.

A client database includes all the health information gathered. In this step, the nurse can identify the related or risk factors and defining characteristics that can be used to formulate a nursing diagnosis.

Some agencies or nursing schools have their own assessment formats you can use. NANDA nursing diagnoses are a uniform way of identifying, focusing on, and dealing with specific client needs and responses to actual and high-risk problems.

Actual or potential health problems that can be prevented or resolved by independent nursing intervention are termed nursing diagnoses. Setting priorities is the process of establishing a preferential sequence for address nursing diagnoses and interventions. In this step, the nurse and the client begin planning which nursing diagnosis requires attention first. Diagnoses can be ranked and grouped as to having a high, medium, or low priority.

Life-threatening problems should be given high priority. Involve the client in the process to enhance cooperation. After assigning priorities for your nursing diagnosis, the nurse and the client set goals for each determined priority. Goals provide direction for planning interventions, serve as criteria for evaluating client progress, enable the client and nurse to determine which problems have been resolved, and help motivate the client and nurse by providing a sense of achievement.

One overall goal is determined for each nursing diagnosis. The terms goal, outcome, and expected outcome are oftentimes used interchangeably. Goals and expected outcomes must be measurable and client-centered.We saw the angry flush And torsion of paralysis assail Her noble cheek.

We moved her to Pinedale, Famed for its sanitarium. Her mind kept fading in the growing mist. She still could speak. She paused, and groped, and found What seemed at first a serviceable sound, But from adjacent cells impostors took The place of words she needed, and her look Spelt imploration as she fought in vain To reason with the monsters in her brain. Laboratory tests can be performed to rule out other conditions that may cause cognitive impairment.

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To date, only symptomatic therapies are available and thus do not act on the evolution of the disease. The mainstay of therapy for patients with dementia is the use of centrally acting cholinesterase inhibitors to attempt to compensate for the depletion of acetylcholine in the cerebral cortex and hippocampus.

a nurse is planning care for a client who is

Nursing diagnoses that you can use for developing nursing care plans for patients with dementia include:. Quiz time about the topic! Exam Mode.

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Practice Quiz: Dementia Please wait while the activity loads. If this activity does not load, try refreshing your browser. Also, this page requires javascript. Please visit using a browser with javascript enabled.

If loading fails, click here to try again Start Congratulations - you have completed Practice Quiz: Dementia.

Early signs of this dementia include subtle personality changes and withdrawal from social interactions. B Impaired communication.

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C Lack of spontaneity. D Inability to perform self-care activities. During the early stage of this disease, subtle personality changes may also be present. However, other than occasional irritable outbursts and lack of spontaneity, the client is usually cooperative and exhibits socially appropriate behavior. Question 2 Nurse Pauline is aware that Dementia, unlike delirium, is characterized by: A Slurred speech. B Insidious onset. C Clouding of consciousness. D Sensory perceptual change.

It causes pronounced memory and cognitive disturbances. A, C, and D: These are all characteristics of delirium. B The duration of vascular dementia is usually brief.

C Personality change is common in vascular dementia. D The inability to perform motor activities occurs in vascular dementia. B: The duration of delirium is usually brief. B Providing emotional support and individual counseling.

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C Monitoring the client to prevent minor illnesses from turning into major problems. D Suggesting new activities for the client and family to do together.

Therefore, nursing care typically focuses on providing emotional support and individual counseling.To login with Google, please enable popups. Sign up. To signup with Google, please enable popups.

Mental Health

Sign up with Google or Facebook. To sign up you must be 13 or older. Terms of Use and Privacy Policy. Already have an account? Log in. Get started today! Pharm B. Edit a Copy. Study these flashcards. Kelsey G. A nurse is planning care for a clienct who is receiving mannitol via continuous IV infusion. The nurse should monitor the client for which of the following adverse effects? Weight loss B. Increased intraocular pressure C. Auditory hallucinations D.

Bibasilar crackles. A nurse is planning to teach about inhalant medications to a client who has a new diagnosis of exercise induced asthma. A nurse is caring for a client who has acute acetaminophen toxicity. The nurse should anticipate administering which of the following medications? A nurse is assessing a client who is receiving epoetin alfa to treat anemia. Which of the following findings should the nurse monitor? Increased blood pressure. A nurse is teaching a client who is to start taking hydrocodone with acetaminophen tablets for pain.

Which of the following information should the nurse include in the teaching? Decreased respirations might occur. A nurse is caring for a client who is experiencing acute alcohol withdrawal. For which of the following client outcomes should the nurse administer chlordiazepoxide?

Prevent delirium tremens. A nurse is instructing a client on the application of nitroglycerin transdermal patches. Which of the following statements by the client indicates an understating of the teaching? I will take the patch off right after my evening meal. Clients should remove the patch each evening for a medication free time of 12 to 14 hr before applying a new patch to avoid developing a tolerance to the medication's effects.

A nurse is assessing a client who is taking propylthiouracil for the treatment of Graves disease. Which of the following findings should the nurse identify as as an indication of the medication has been effective? Increase in ability to focus. Which of the following actions should the nurse take?Priorities are established to help the nurse anticipate and sequence nursing interventions when a client has multiple problems or alterations. The following statement appears on the nursing care plan for an immunosuppressed client: The client will remain free from infection throughout hospitalization.

This statement is an example of a an :. The following statements appear on a nursing care plan for a client after a mastectomy: Incision site approximated; absence of drainage or prolonged erythema at incision site; and client remains afebrile. These statements are examples of:. After determining a nursing diagnosis of acute pain, the nurse develops the following appropriate client-centered goal:.

When developing a nursing care plan for a client with a fractured right tibia, the nurse includes in the plan of care independent nursing interventions, including:. Which of the following nursing interventions are written correctly? Select all that apply. The nurse first considers:. When calling the nurse consultant about a difficult client-centered problem, the primary nurse is sure to report the following:. The primary nurse asked a clinical nurse specialist CNS to consult on a difficult nursing problem.

The primary nurse is obligated to:. After assessing the client, the nurse formulates the following diagnoses. Place them in order of priority, with the most important classified as high listed first.

The nurse is reviewing the critical paths of the clients on the nursing unit. In performing a variance analysis, which of the following would indicate the need for further action and analysis? The RN has received her client assignment for the day-shift. After making the initial rounds and assessing the clients, which client would the RN need to develop a care plan first?

Calling in the wound care nurse as a consultant is appropriate because he or she is a specialist in the area of wound management. Professional and competent nurses recognize limitations and seek appropriate consultation.

This might be appropriate after deciding on a plan of action with the wound care nurse specialist. The nurse may need to obtain orders for special wound care products.

a nurse is planning care for a client who is

Unless the nurse is knowledgeable in wound management, this could delay wound healing. Also, the current wound management plan could have been ordered by the physician. Another nurse most likely will not be knowledgeable about wounds, and the primary nurse would know the history of the wound management plan.

This gives the consulting nurse facts that will influence a new plan.

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