A 62-year-old woman has not been to the clinic for an annual examination for 5 years. The recent death of her husband reminded her that she should come for a visit. Her family doctor has retired, and she is going to see the women’s health nurse practitioner for her visit. To facilitate a positive health care experience, the nurse should:
Encourage the woman to talk about the death of her husband and her fears about her own death.
Listen carefully and allow extra time for this woman’s health history interview.
Remind the woman that she is long overdue for her examination and that she should come in annually.
Reassure the woman that a nurse practitioner is just as good as her old doctor.
The Correct Answer is B
A. Encourage the woman to talk about the death of her husband and her fears about her own death: While addressing grief can be important, immediately focusing on these topics may detract from the purpose of the health visit. This can be addressed after establishing rapport.
B. Listen carefully and allow extra time for this woman’s health history interview: Providing attentive listening and extra time facilitates trust, helps the client feel heard, and ensures a comprehensive health history is obtained. This approach supports a positive healthcare experience, especially after a long absence from care.
C. Remind the woman that she is long overdue for her examination and that she should come in annually: While important, this statement may be perceived as judgmental and does not prioritize establishing a supportive, positive interaction for the client’s first visit in years.
D. Reassure the woman that a nurse practitioner is just as good as her old doctor: This statement may seem dismissive or comparative. Focusing on the nurse practitioner’s competence is less effective than fostering rapport through listening and patient-centered care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Bladder irrigation decreases the risk of postoperative bleeding: Continuous bladder irrigation does not directly prevent bleeding. Its primary purpose is not hemostasis, although it may help flush small clots. Bleeding is managed with surgical technique, medications, or monitoring, not the irrigation itself.
B. Hydration and urine output are maintained by bladder irrigation: Irrigation does not provide systemic hydration or replace fluid lost. It only flushes the bladder lumen and does not contribute significantly to the client’s overall fluid balance or urine production.
C. Antibiotics are infused continuously through the bladder irrigation: Continuous bladder irrigation is not a route for antibiotic administration. Antibiotics are given systemically (IV or oral) to prevent or treat infection, not through the irrigation solution.
D. Bladder irrigation prevents obstruction of the catheter after surgery: The primary purpose of continuous bladder irrigation after TURP is to prevent catheter blockage from blood clots and tissue debris. Maintaining catheter patency ensures urine drainage, reduces bladder distention, and decreases the risk of postoperative complications.
Correct Answer is B
Explanation
A. A 45-year-old who takes an aspirin daily: Daily aspirin use does not significantly increase or decrease the risk of atrial fibrillation. Age alone and routine aspirin therapy are not major risk factors for AF.
B. A 50-year-old who is post coronary artery bypass graft surgery: Postoperative atrial fibrillation is common after cardiac surgery due to atrial inflammation, stress response, and electrolyte imbalances. This client is at the greatest immediate risk for developing AF.
C. A 78-year-old who had a carotid endarterectomy: While older age and vascular disease are risk factors for AF, the immediate postoperative risk after carotid surgery is lower than after cardiac surgery.
D. An 80-year-old with chronic obstructive pulmonary disease: COPD increases the risk for AF over time due to hypoxia and pulmonary hypertension, but it is less acute compared with post-cardiac surgery status.
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