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should begin on admission to the hospital.

1 The client and family often are unaware of the options available in the
health care
system; the nurse should be available to provide the necessary information
and
support. 3 Rehabilitation helps a client adjust to a new lifestyle that must
compensate
for the paralysis. 4 The goal of rehabilitation is to foster independence
wherever the
client may live after discharge,
Client Need: Management of Care; Cognitive Level: Comprehension;
Nursing Process:
Planning/Implementation; Reference: Ch 2, Nursing Process
2. 3 Rehabilitation refers to a process that assists clients to obtain
optimal functioning.
Care should be initiated immediately when a health problem exists to
avoid
complications and facilitate recuperation.
1 All resources that can be beneficial to client rehabilitation, including the
private health
care provider and acute care facilities, should be utilized. 2 Rehabilitation is a
commonality in all areas of nursing practice. 4 Rehabilitation is necessary to
help
clients return to a previous or optimal level of functioning.
Client Need: Management of Care; Cognitive Level: Comprehension;
Nursing Process:
Planning/Implementation; Reference: Ch 1, Health-Illness Continuum and
Rehabilitation
3. 1 A call bell system enables the client to communicate with the staff
and supports
safety and security, which is a second-level need.
2 Self-esteem involves intrapersonal needs, the fourth level of basic needs. 3
Physiologic
needs include air, food, and water and represent the first level of
needs. 4 Interpersonal needs involve love and belonging, which are third-
level needs.
Client Need: Safety and Infection Control; Cognitive Level: Application;
Integrated
Process: Teaching/Learning; Nursing Process: Planning/Implementation;
Reference:
Ch 2, The Nurse-Client Relationship
4. 4 Socialization, values, and role definition are learned within the
family and help
develop a sense of self. Once established in the family, the child can more
easily move
into society.
1, 2, 3 Although important, this is just one aspect of the family’s influence; it
is not as
important as identity and roles in relation to emotional development.
Client Need: Psychosocial Integrity; Cognitive Level: Comprehension;
Nursing
Process: Planning/Implementation; Reference: Ch 1, Groups
5. 4 A major premise of AA is that to be successful in achieving sobriety,
clients with
alcohol abuse problems must acknowledge their inability to control their
drinking.
1 There are no rules about speaking at meetings, although members are
strongly
encouraged to do so. 2 There are no rules of attendance at meetings, although
members are strongly encouraged to attend as often as possible. 3 This is not
part of
AA; this group strongly supports total abstinence for life.
Client Need: Psychosocial Integrity; Cognitive Level: Comprehension;
Nursing

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