The nurse is developing a plan of care for a client with disturbed body image. Which interventions would the nurse most likely include in the plan? Select all that apply.

Correct Answer: A

Rationale: 1. **Establish rapport with the client**: Building trust and a therapeutic relationship is crucial in addressing disturbed body image. 2. **Role model appropriate behavior**: While important, this may not directly address the client's body image concerns. 3. **Encourage client to make positive self-statements**: This can be helpful, but establishing rapport is more foundational. 4. **Assist the client in accepting responsibility for own actions**: This is important but not directly related to addressing body image concerns.

Correct Answer: D

Rationale: The correct answer is D because the client's refusal to use the prescribed walker indicates a problem with daily functioning. Using a walker is crucial for mobility, safety, and independence in a SNF setting. Not using the walker can lead to increased risk of falls and potential injuries, affecting the client's ability to perform daily activities. A: Eating 80% of meals shows adequate nutrition intake. B: Watching TV with others is a social activity. C: Wanting to wear one's own clothing is a personal preference and does not directly impact daily functioning.

Correct Answer: D

Rationale: The correct answer is D because in hospice care, the primary goal is to keep the client comfortable and manage their symptoms, particularly pain. Administering pain medication ensures the client's quality of life and dignity are maintained. Turning and repositioning (choice A) is important but not the priority. Providing meals (choice B) and assisting with mobility (choice C) are important for overall well-being but not the priority in hospice care, where comfort is paramount.

Correct Answer: D

Rationale: The correct answer is D: Jehovah's Witnesses. This religion prohibits the acceptance of blood transfusions based on their interpretation of biblical teachings. They believe that blood is sacred and should not be consumed or transfused. Mormons (A) do not have specific restrictions on blood transfusions. Buddhism (B) and Catholicism (C) do not have prohibitions against blood transfusions.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.