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Zorluk: KolaySupport Systems

A nurse is caring for a young adult client who was recently diagnosed with multiple sclerosis. The client states, "I feel completely overwhelmed and alone with this diagnosis." Which of the following nursing actions are appropriate to help strengthen the client's support systems? Select all that apply.

  1. Assess the client's current family dynamics and available social network.Cevap
  2. Provide the client with contact information for a local multiple sclerosis support group.Cevap
  3. C
    Delegate the task of exploring community resources to the unlicensed assistive personnel (UAP).
  4. Facilitate a referral to a medical social worker for additional community assistance.Cevap
  5. E
    Tell the client not to worry because many people live long lives with this condition.
  6. F
    Suggest the client avoid telling friends about the diagnosis to prevent them from worrying.

Cevap

The correct actions are to assess the client's current family dynamics and available social network, provide contact information for a local multiple sclerosis support group, and facilitate a referral to a medical social worker.
Appropriate interventions to strengthen a client's support systems include assessing their current baseline resources (family and friends), connecting them with peers experiencing similar challenges (support groups), and utilizing the interdisciplinary team (medical social workers) for comprehensive community navigation.

Adım Adım Çözüm

1
Analyze the client's statement
The client expresses feelings of isolation ('alone') and distress ('overwhelmed') related to a new chronic illness diagnosis.
Understanding the core problem is necessary to select appropriate supportive interventions.
2
Evaluate each option against therapeutic communication and nursing scope of practice
Options involving assessment, support groups, and social worker referrals align with therapeutic practice. Options involving UAP delegation, false reassurance, and encouraging isolation do not.
Nursing interventions must be therapeutic, within the RN scope, and directly address the client's expressed need for support.
3
Select all correct therapeutic actions
Identify assessing social networks, providing support group information, and referring to a social worker as the appropriate actions.
These actions actively build and reinforce the client's psychosocial support systems.

Anahtar Kavram

Identifying and utilizing appropriate resources (e.g., support groups, social workers) and maintaining therapeutic communication to strengthen a client's support systems.
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