HESI MOBILITY CASE STUDY
QUESTIONS AND COMPLETE
SOLUTIONS GRADED A+
Your Exam Plug
, Case study info - Answer: Meet the Client: John Mathis
John Mathis, a 73-year-old male, is treated in the emergency department (ED) for an infected wound on
his right foot. John states he was walking barefoot and stepped on something sharp that cut his foot. He
treated it with topical antibiotics, but it appears red and inflamed, with purulent drainage. John is
admitted to the medical-surgical unit for inpatient wound care treatment.
Mr. Matthew tells the nurse that he has never been hospitalized. He appears anxious and frequently
turns to his wife for reassurance. What is the best response by the nurse? - Answer: "What concerns do
you have about being hospitalized?"
This response utilizes principles of therapeutic communication. It is an open-ended question designed to
allow Mr. Matthew to verbalize any concerns about hospitalization that might be contributing to his
anxiety.
Mr. Matthew tells the nurse, "My sweetheart and I have never been apart during our 55-year marriage."
What action should the nurse implement to help reduce Mr. Matthew's anxiety during the admission
process? - Answer: Explain the room environment to Mr. and Mrs. Matthew.
This action will reduce the client's anxiety by including the spouse, and orienting them both to the room.
Mr. Matthew states the pain level in his right foot is 8 on a scale of 1-10. He says he has been favoring
his foot by staying in bed the past week. In planning his care, which nursing diagnosis should take
priority? - Answer: Impaired physical mobility.
Mr. Matthew's limited activities support this nursing diagnosis. Improving mobility is a nursing priority to
prevent the many potential complications.
In developing a plan of care, the nurse consults with Mr. Matthew to identify a short-term goal. Which
goal is correct for Mr. Matthew's diagnosis for impaired mobility? - Answer: The client will sit in the chair
for each meal beginning on the day of admission.
This is a correctly stated goal. The client is always the subject of the goal, and the action is always
measurable. This goal includes what Mr. Matthew is to achieve and sets a realistic deadline.
QUESTIONS AND COMPLETE
SOLUTIONS GRADED A+
Your Exam Plug
, Case study info - Answer: Meet the Client: John Mathis
John Mathis, a 73-year-old male, is treated in the emergency department (ED) for an infected wound on
his right foot. John states he was walking barefoot and stepped on something sharp that cut his foot. He
treated it with topical antibiotics, but it appears red and inflamed, with purulent drainage. John is
admitted to the medical-surgical unit for inpatient wound care treatment.
Mr. Matthew tells the nurse that he has never been hospitalized. He appears anxious and frequently
turns to his wife for reassurance. What is the best response by the nurse? - Answer: "What concerns do
you have about being hospitalized?"
This response utilizes principles of therapeutic communication. It is an open-ended question designed to
allow Mr. Matthew to verbalize any concerns about hospitalization that might be contributing to his
anxiety.
Mr. Matthew tells the nurse, "My sweetheart and I have never been apart during our 55-year marriage."
What action should the nurse implement to help reduce Mr. Matthew's anxiety during the admission
process? - Answer: Explain the room environment to Mr. and Mrs. Matthew.
This action will reduce the client's anxiety by including the spouse, and orienting them both to the room.
Mr. Matthew states the pain level in his right foot is 8 on a scale of 1-10. He says he has been favoring
his foot by staying in bed the past week. In planning his care, which nursing diagnosis should take
priority? - Answer: Impaired physical mobility.
Mr. Matthew's limited activities support this nursing diagnosis. Improving mobility is a nursing priority to
prevent the many potential complications.
In developing a plan of care, the nurse consults with Mr. Matthew to identify a short-term goal. Which
goal is correct for Mr. Matthew's diagnosis for impaired mobility? - Answer: The client will sit in the chair
for each meal beginning on the day of admission.
This is a correctly stated goal. The client is always the subject of the goal, and the action is always
measurable. This goal includes what Mr. Matthew is to achieve and sets a realistic deadline.
