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ATI - FUNDAMENTALS REMEDDIATION - 2021

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ATI FUNDAMENTALS REMED The nurse is d/c a client home with instructions on proper crutch use. Identify three priority teaching points to include in the discharge instructions. 1. Proper positioning... of 1-2 inches below armpits. 2. Lean forward slightly and move both crutches in front. 3. Shift weight to crutches and sway forward. Identify 3 priority teaching points to include when education a client to use a cane. 1. Use cane on the “good side”, unaffected side to provide support to affect leg. 2. Advance can simultaneously with the opposite “affected leg” . 3. The unaffected leg should assume first full weight-bearing step on leveled surfaces. Describe tertiary prevention measures and provide one example. Tertiary prevention is directed to prevent the long-term consequences of a chronic illness or disability and to support optimal functioning. An example would be a to prevent a pressure ulcer after an injury and then having to be bedbound. A 36 yo client is in the psychosocial development phase of generativity vs. stagnation. Identify 4 psychosocial development tasks specific to the middleaged adult. 1. Moral development- spiritual beliefs and religion can take on added importance. 2. Self-concept – some have issues related to menopause, sexuality, depression, & irritability. 3. Body image changes – sex drive can decrease as a result of declining hormones, chronic disorders, or medication. Changes in physical appearance can raise concerns about desirability. 4. Social development – the need to maintain and strengthen intimacy. List 5 expected assessment findings for the older adult due to the physical changes during aging. 5 expected findings for the aging older adult would include: decreased muscle mass, limited range of motion, short-term memory decline, decreased intestinal motility and enzymes, and greater risk of depression. Describe disenfranchised grief and the appropriate interventions to facilitate mourning. Disenfranchised grief entails an experienced loss that cannot be publicly shared or acknowledged by the public for example an abortion or suicide. Interventions to facilitate mourning would include: grant time for the grieving process, use therapeutic communication related to client’s stage of grief, use active listening, [Show More]

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