A nurse is collecting data from a client who has depression to identify his ability to perform activities of daily living (ADLs) prior to discharge. Which of the following data should the nurse collect? (Select all that apply.)
Ability to dress himself
Ability to identify how often he should schedule his car for an oil change
Ability to bathe himself
Ability to perform oral hygiene
Ability to balance his bank account
Correct Answer : A,C,D
Choice A reason: The ability to dress oneself is a basic ADL and is important for independence after discharge.
Choice B reason: Scheduling car maintenance is not considered a basic ADL; it is an instrumental activity of daily living (IADL), which is not typically assessed for depression-related ADLs.
Choice C reason: The ability to bathe oneself is another basic ADL that is crucial for self-care and should be assessed before discharge.
Choice D reason: Performing oral hygiene is a fundamental ADL and should be included in the assessment.
Choice E reason: Balancing a bank account is an IADL and, similar to choice B, is not typically part of the basic ADL assessment for a client with depression.
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Related Questions
Correct Answer is C
Explanation
Choice A reason: This statement is not appropriate as it may sound condescending and does not acknowledge the client's effort in a respectful manner.
Choice B reason: This question could be perceived as intrusive and might make the client feel defensive about their self-care activities.
Choice C reason: This response is appropriate as it is a neutral observation that acknowledges the client's effort without making judgments or assumptions.
Choice D reason: While this statement is positive, it may not be the best choice as it could be interpreted as patronizing rather than a simple acknowledgment.
Correct Answer is D
Explanation
Choice A reason: This response is a closed-ended question that might not encourage further discussion or reveal the underlying issues.
Choice B reason: This confrontational approach could make the patient defensive and is not conducive to building a therapeutic relationship.
Choice C reason: While encouraging the patient to eat is important, this directive does not address the patient's feelings or concerns.
Choice D reason: Asking an open-ended question invites the patient to share more about their feelings and can lead to a better understanding of their lack of appetite.
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