A Client Has Neurological Deficits That Are Causing Tremors, Unsteadiness

question 9

Multiple Choice

A client has neurological deficits that are causing tremors, unsteadiness and weakness. An appropriate diagnosis of Risk for Falls related to unsteady gait, secondary to neurological dysfunction has been formulated. A goal for this client is not to sustain any injuries for the next month. The client, however, has fallen several times. In this situation, the nurse should do which of the following?

• A) Discard the nursing plan and start over from the assessment phase.
• B) Modify the whole nursing plan.
• C) Review the data and make sure that the diagnosis is relevant.
• D) Investigate whether the best nursing interventions were selected.

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Definitions:

Public Record

Documents or pieces of information that are not considered confidential and are kept by government agencies, available for public access and inspection.

Truthfulness

The quality of being honest and not containing or telling any lies.

Deceived

The act of misleading or tricking someone, often to gain an advantage.

Fraudulent Misrepresentation

Deliberately providing false information to deceive another party, often to gain a financial advantage.