A nurse is completing a follow-up family home visit and discovers that the care plan developed at the last visit was not followed. Which of the following actions should the nurse take first?
Discuss with the family what changes have occurred that have prevented them from following plan of care.
Document that the plan of care was not achieved.
Develop a family nurse contract
Revise the plan of care with the family
The Correct Answer is A
When the care plan is not followed during a home visit, the first step for the nurse should be to discuss with the family what changes or challenges have occurred that prevented them from following the plan of care. This approach allows the nurse to gain insight into any barriers or issues the family may be facing, which can then inform the next steps in revising or adapting the care plan to better suit the family's needs and circumstances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B"]
Explanation
B. Networking with a diverse group of agencies allows the nurse to build connections and establish
relationships with a variety of organizations that can contribute different perspectives, resources,
and expertise to address community health needs.
C. Effective communication is essential for building and maintaining collaborative relationships.
Clear and open communication facilitates sharing of information, coordination of efforts, and
resolution of conflicts or misunderstandings that may arise during collaboration.
E. Providing translation services helps ensure that language barriers are addressed, enabling
effective communication and collaboration with individuals and communities who speak
languages other than the dominant language in the area. This promotes inclusivity and enhances
the accessibility of services to diverse populations.
Correct Answer is C
Explanation
Foods like carrots and hot dogs can pose a choking hazard due to their shape and texture. Cutting these foods into small, manageable pieces reduces the risk of choking by making them easier to chew and swallow safely.
A. Toddlers should always be closely supervised while eating, regardless of the types of foods being given. Supervision helps to ensure that toddlers are eating safely and can receive prompt assistance if they experience any difficulties or choking incidents.
B. While it is important for toddlers to play with age-appropriate toys, this instruction is not directly related to preventing choking incidents specifically.
D. Peanuts are considered a high-risk food for choking, and even if the shell has been removed, they can still pose a choking hazard to toddlers.
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