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NCLEX-RN · Question #498

NCLEX-RN Question #498: Real Exam Question with Answer & Explanation

The correct answer is D. Allowing him to plan, assist in, and perform his own care whenever possible. (A) A regimented schedule, allowing no flexibility, will not foster the client's self-esteem. (B) Isolating the client may only enhance his feelings of social isolation due to his disfigurement. (C) Standardized care plans must be personalized and adapted to each client's situati

Question

A male client has burns over 90% of his body after an automobile accident resulting in a fire. He was trapped inside the auto and pulled out by a bystander. After several months in the hospital and over 20 surgeries, discharge planning has begun. Throughout his hospitalization the nursing staff has been aware of psychological changes the client faces after burns over a large portion of his body resulting in disfigurement. The nursing staff can best foster the client's self-esteem by:

Options

  • AAdhering to a strict schedule of diet, exercise, and wound care
  • BAllowing him to go to physical therapy for whirlpool treatment when other clients were not in
  • CFollowing a standardized plan of care for burn clients formulated by a world-renowned burn center
  • DAllowing him to plan, assist in, and perform his own care whenever possible

Explanation

(A) A regimented schedule, allowing no flexibility, will not foster the client's self-esteem. (B) Isolating the client may only enhance his feelings of social isolation due to his disfigurement. (C) Standardized care plans must be personalized and adapted to each client's situation. (D) Allowing the client control over his care will foster his self-esteem and prepare him for life outside of the hospital.

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