A nurse is caring for a client who is homeless.
Which of the following actions should the nurse take first?
Determine the client's understanding of her living situation.
Assist the client to develop goals for obtaining shelter.
Discuss the risks of being homeless with the client.
Develop client teaching using a variety of strategies.
The Correct Answer is A
The first step a nurse should take when caring for a client who is homeless is to assess their understanding of their living situation. This will help the nurse to understand the client’s perspective and needs, and to tailor their care accordingly.
Choice B, assisting the client to develop goals for obtaining shelter, is important but should come after the initial assessment.
Choice C, discussing the risks of being homeless with the client, is also important but should come after the initial assessment.
Choice D, developing client teaching using a variety of strategies, is also important but should come after the initial assessment and after determining the client’s needs and goals.
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Correct Answer is C
Explanation
- A. Use of educational materials in written and video format. This is generally a positive approach, as it caters to different learning styles. Therefore, it's not a barrier.
- B. Reliance on written notes during the teaching session. While notes can be helpful, excessive reliance on them might indicate a lack of confidence or familiarity with the material. This could hinder effective communication and engagement with the family, thus, it is a barrier.
- C. Use of humor to deal with disruptive behavior. Using humor inappropriately, especially in a sensitive situation like teaching about HIV infection control, can be perceived as unprofessional and disrespectful. It can also minimize the seriousness of the topic and create a barrier to learning.
- D. Previous experience teaching, i.e. a teens' course. While experience is generally beneficial, it could be a barrier if the nurse assumes the family's learning needs are the same as teenagers. Furthermore, if the nurse does not adapt their teaching style, and materials to the new audience, it will be a barrier.
Correct Answer is D
Explanation
When arranging for the delivery of medical equipment to the client’s home, the nurse case manager is functioning in the role of a coordinator. In this role, the nurse coordinates the delivery of services and resources to meet the needs of the client.
Choice A is not the correct answer because an advocate represents and defends the rights and interests of the client.
Choice B is not the correct answer because a site locator identifies and secures appropriate locations for services or resources.
Choice C is not the correct answer because an educator provides information and teaches skills to clients and their families.
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