Question

An RN is formulating a care plan for a patient using the Trajectory Model of Chronic Illness. Which intervention will be planned when the patient is in the Comeback phase of the model?

A. Provide direct care to stabilize the patient.

B. Refer patient to a genetic counselor for evaluation and follow-up.

C. Assist in coordination of physical therapy exercises into daily care.

D. Assist family with planning for the patient’s imminent death.

Answer 1

Ans)B. Refer patient to a genetic counselor for evaluation and follow-up.

Explaination:

- Communication: all details about patient condition must be presented.

- The counselor encourages patients to discuss the meaning the information has for them, including the patients' feelings about potential sources of support should they choose to raise a child with a disability, what they might perceive as intolerable disability, the option of terminating the pregnancy, family reactions and values, and previous experiences.

- Counselors should take into consideration the cultural and social differences described above and integrate into their counseling a recognition of how different backgrounds might shape the values and expectations of the counselees.