Which sociocultural finding in the history of a patient will alert the nurse to a possible developmental problem?
Childhood obesity.
Prolonged poverty.
Family relocation.
Loss of stamina.
The Correct Answer is B
A. Childhood obesity may indicate dietary and lifestyle issues but does not directly reflect sociocultural factors affecting developmental problems.
B. Prolonged poverty can significantly impact a child's development by limiting access to resources such as nutrition, education, and healthcare, thus signaling a potential developmental issue.
C. Family relocation can cause stress and adjustment challenges but is not as directly associated with long-term developmental problems as prolonged poverty.
D. Loss of stamina may be a physical issue but does not necessarily correlate with sociocultural factors that would indicate developmental concerns.
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Correct Answer is D
Explanation
A. Assessment has already been completed as the initial step, involving data collection.
B. Diagnosis is also completed, involving analysis and identification of the patient’s health problems.
C. Implementation occurs after planning, when nursing interventions are executed.
D. Planning is the appropriate next step, involving the creation of specific, measurable goals and interventions based on the identified nursing diagnoses.
Correct Answer is A
Explanation
A. Encouraging self-care helps promote independence and functional recovery in stroke patients, supporting rehabilitation and enhancing self-esteem.
B. Bed rest is not recommended as it can contribute to muscle deconditioning and complications associated with immobility.
C. While coordination with therapy is beneficial, gait training is typically handled by physical therapy rather than occupational therapy.
D. Providing a complete bed bath limits the patient’s autonomy; encouraging partial participation supports the patient's involvement in self-care.