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2 years ago
A patient has been admitted with chest pain and generalized discomfort. Which assessment is essential in order for the nurse to set realistic goals for patient therapy and education?
1. The patient's functional status prior to illness
2. Family history of disease, diet history, and prior medical history
3. Demographic data including age, sex, race, and weight of patient
4. Cardiovascular risk factors, such as history of smoking and stress level
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High-Acuity Nursing
Edition: 6th
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Rationale 1: Knowledge of the patient's functional status prior to illness assists the nurse in setting goals that are realistic for the patient. The nurse must know the patient’s pre-illness capabilities.
Rationale 2: Family history, diet history, and prior medical history are important assessment components but do not directly indicate the patient’s capabilities.
Rationale 3: Demographic data is not as important as other assessment components for use in determining realistic goals.
Rationale 4: Cardiovascular risk factors, smoking history, and stress level may indicate areas in which education is needed but does not specifically address goals of therapy.
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