Can a patient with a Do Not Resuscitate (DNR) order receive medical treatments?

Choice A rationale
On initial evaluation by the home health nurse, a comprehensive assessment is typically performed to gather baseline data. This initial assessment is thorough and includes a detailed history and physical examination to understand the patient’s overall health status. It is not a partial ongoing assessment, which is more focused and conducted after the initial comprehensive assessment to monitor specific issues or changes in the patient’s condition.
Choice B rationale
Reassessing a client for pain after giving pain medication is an example of a partial ongoing assessment. This type of assessment is focused on evaluating the effectiveness of an intervention, such as pain medication, and determining if further action is needed. It involves collecting specific data related to the patient’s pain levels and response to treatment, rather than a comprehensive evaluation of their overall health.
Choice C rationale
Checking skin assessment on a patient with a medical device in place is also an example of a partial ongoing assessment. This focused assessment is conducted to monitor the condition of the skin around the medical device, looking for signs of pressure ulcers, infection, or other complications. It is not a comprehensive assessment but rather a targeted evaluation of a specific area of concern.

Choice D rationale
Preparing the client for discharge involves a comprehensive assessment to ensure that the patient is ready to leave the healthcare facility and can manage their care at home. This assessment includes evaluating the patient’s physical, psychological, and social needs, as well as their ability to perform activities of daily living. It is not a partial ongoing assessment, which is more focused and conducted during the course of care to monitor specific issues.

Choice A rationale
Discussing the benefits of losing weight is important, but it is not sufficient on its own. While understanding the benefits can motivate the client, it does not provide the practical steps needed to achieve weight loss. The client needs actionable information and guidance to make sustainable changes.

Choice B rationale
Creating a diet plan for the client can be helpful, but it may not be the most effective approach. A diet plan needs to be personalized and adaptable to the client’s preferences, lifestyle, and medical conditions. Providing learning materials empowers the client to make informed choices and develop their own plan, which is more sustainable in the long term.
Choice C rationale
Encouraging the client to share their feelings is supportive and can help address emotional factors related to weight loss. However, it does not directly provide the practical knowledge and skills needed to achieve weight loss. Learning materials on necessary habits offer concrete steps and strategies for the client to follow.
Choice D rationale
Providing learning materials on necessary habits is the most comprehensive approach. It equips the client with the knowledge and tools needed to make informed decisions about their diet, exercise, and lifestyle. This empowers the client to take control of their weight loss journey and make sustainable changes.