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 C
Explanation
As a client advocate, the nurse's role is to respect the client's autonomy and right to make their own decisions about their health, even if those decisions may not align with medical advice. This approach maintains a therapeutic relationship and respects the client's autonomy while still offering support and resources.
A. is coercive and not respectful of the client's autonomy.
B. involves reporting the client's refusal to comply, which does not respect the client's right to make their own decisions.
D. involves involving the client's family without the client's consent, which undermines the client's autonomy and privacy.
Correct Answer is ["A","C","D","E"]
Explanation
A. Older adults often have weakened immune systems and may have underlying health conditions, making them more susceptible to infections.
C. Immunosuppressant medications suppress the immune system's response, making individuals more vulnerable to infections.
D. Close living quarters and shared facilities in nursing homes can facilitate the spread of infections among residents.
E. Malnutrition or inadequate nutrition weakens the immune system, making individuals more susceptible to infections.
B. Immunizations are up to date decreases the risk of contracting certain communicable diseases by providing immunity against them.
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