Management of Care

Therapeutic Communication: Responding to a Client who Wants to Discontinue

Treatment: Elicit and attend to clients’ thoughts, feelings concern and needs.

Attentive behavior and active listening can be used to convey interest, trust and

acceptance, show caring attitude by showingconcern and facilitate an emotional

connection and support. Display nonjudgmental attitude. A display of acceptance of

clients and families encourages open, honest communication.

Neurocognitive Disorders: Priority Findings to Report for a Client Who Has

Alzheimer’s Disease: Change in neurologic status, tachycardia, elevated blood

pressure, sweating, dilated pupils, inadequate fluid levels, bradycardia and syncope

should be reported for a client who has Alzheimer’s disease.

Pharmacokinetics and Routes of Administration: Prioritizing Steps of Eye Drop

Administration: Use medical aseptic technique when instilling mediation in eyes.

Have clients sit upright or supine, tilt their head slightly, and look up at the

conjunctival sac about 1 to 2cm, drop the medication into the sac, avoid placing it

directly on the cornea, and have them close the eye gently. If they blink during

installation, repeat the procedure. Apply gentle pressure with your finger and a

clean facial tissueon the nasolacrimal duct for 30-60 seconds to prevent systemic

absorption of the medication.

Crisis Management: Crisis Intervention for Partner Violence: The nurse should first

assess the client for any immediate injuries and potential for homicide or suicide.

Strategies to decrease client’s stress and anxiety mayinclude: avoiding false

reassurance, listening, remaining with the client, eye contact, etc. There are four

main phases of a crisis, it is important for the nurse to be able to distinguish between

them and know which nursing interventions to apply respectively.