A case management nurse is arranging discharges for several clients. Which of the following interventions would the nurse recognize as suitable for non-skilled care?

Evaluating self-administration of insulin in a 68-year-old client with newly diagnosed diabetes mellitus

Auscultating lung sounds in a 76-year-old client with decompensated heart failure taking a diuretic

Monitoring blood pressure in an 86-year-old client with hypertension recently started on a new antihypertensive

Changing a dry dressing on a 78-year-old client with poor vision who had sustained a laceration on the lower leg

Answer and Explanation

The Correct Answer is D

A. Evaluating self-administration of insulin involves assessing a client's ability to manage their medication, which requires skilled nursing assessment and education.
B. Auscultating lung sounds is a skilled nursing task involving clinical assessment of respiratory status.
C. Monitoring blood pressure is a skilled nursing task that requires clinical assessment, especially when adjusting medications.
D. Changing a dry dressing is considered non-skilled care as it primarily involves routine care and does not require advanced clinical skills. This task is appropriate for a non-skilled caregiver.

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Correct Answer is B

Explanation

A. The trend is actually increasing for older adults wishing to be cared for at home rather than decreasing.
B. There is a growing trend for older adults to seek hospice care to manage symptoms and improve quality of life at the end of life.
C. Despite the increase in hospice care, older adults still frequently die in hospitals due to various factors, but this is gradually changing.
D. Trends show that older adults are spending less time in hospitals and more in home-based or hospice care.

A. A nurse explains the importance of medication adherence to a patient using visual aids and simplified language. B. A nurse encourages a patient to join a support group where they can observe others coping with similar health challenges. C. A nurse refers a patient to a physical therapist to learn exercises that promote mobility and strength. D. A nurse demonstrates wound care techniques to a patient and provides written instructions for future reference.

Correct Answer is B

Explanation

A. "A nurse explains the importance of medication adherence to a patient using visual aids and simplified language." This is more about education and communication rather than social learning.
B. "A nurse encourages a patient to join a support group where they can observe others coping with similar health challenges." This is correct. Social learning theory emphasizes learning through observation and interaction with others. Joining a support group allows the patient to observe and learn from the experiences of others.
C. "A nurse refers a patient to a physical therapist to learn exercises that promote mobility and strength." This is related to physical therapy and individual instruction rather than social learning.
D. "A nurse demonstrates wound care techniques to a patient and provides written instructions for future reference." This focuses on direct instruction rather than the observational learning component of social learning theory.

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A case management nurse is arranging discharges for several clients. Which of the following interventions would the nurse recognize as suitable for non-skilled care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following factors would the nurse identify as reflecting the current trend in caring for terminally ill older adults?

Correct Answer is B

Explanation

Which scenario best exemplifies social learning theory in nursing practice?

Correct Answer is B

Explanation

The nurse is teaching a group of nurses about the ecological model of health care. Which of the following clients would be the primary target for this model?

According to the relapse prevention model, which of the following circumstances often precede a relapse? (Select all that apply)

A nurse is admitting a client who has a hip fracture from a recent fall at home. During the admission interview, the client's partner, who is frail, informs the nurse that they will be the client's caregiver upon discharge to home. Which of the following actions should the nurse take?

The nurse is discussing palliative care with a client who has stage 3 lung cancer. Which aspect of palliative care would the nurse explain is unique to the specialty?

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The nurse explains to a client with advanced cancer about the differences between hospice and palliative care. Which statement, if made by the client, indicates teaching was effective?

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