A nurse is caring for a client who has chronic renal failure. The nurs

A nurse is caring for a client who has chronic renal failure. The nurse states, “We will do every-thing possible to return you to the optimum level of self-care possible.”

In coordinating an approach to best meet the needs of this client, the nurse is fulfilling the role of:
1. Manager
2. Educator
3. Counselor
4. Communicator

ANSWER

ANS: 1
The nurse, in caring for this client, will coordinate the activities of other members of the health care team. This client may require the assistance of a nursing assistant to provide personal care until the client is less fatigued. A nutritionist may be necessary for diet evaluation, planning, and teaching. A nurse may provide education on the dialysis therapy and perform the skill necessary until the client is able to do so independently.
The nurse may include patient teaching in the client’s care, but more is required to meet the needs of this client.
The nurse is not performing in the role of counselor.
Clear communication will be necessary for the client to understand self-care measures regarding dialysis. The role of communicator does not, however, entirely meet the client’s physical needs at this time.