A community health nurse is assessing a family that includes a member who has paraplegia following a recent accident.
Which of the following should the nurse say to the family?
"You should know that everything is going to be alright.”.
"You should make your house wheelchair accessible.”.
"What has changed within your family since the accident?"
"Do you think you will be able to handle this new diagnosis?" .
The Correct Answer is C
Choice A rationale
Telling a family that everything is going to be alright is a form of false reassurance. This statement minimizes the family's legitimate concerns and the significant challenges they face. It can lead to distrust and a sense that the nurse doesn't understand the gravity of their situation, hindering the development of a therapeutic and trusting relationship.
Choice B rationale
Advising the family on specific home modifications, such as making their house wheelchair accessible, is premature without a comprehensive assessment of their needs, resources, and priorities. This directive approach can make the family feel overwhelmed and judged. The nurse's role is to collaborate with the family, not dictate their actions.
Choice C rationale
This is an open-ended question that encourages the family to express their feelings, concerns, and perceptions about the changes they are experiencing. It allows the nurse to understand the family's specific challenges, coping mechanisms, and support systems from their perspective, which is crucial for a family-centered assessment and care plan.
Choice D rationale
This is a closed-ended question that may lead to a simple "yes" or "no" answer, which does not provide insight into the family's feelings or the complexity of their situation. The phrasing "Do you think you will be able to handle this" can also be perceived as judgmental, implying a lack of capability and placing undue pressure on the family.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A case manager is a healthcare professional who coordinates and facilitates the care of a client by managing resources, services, and support systems. By arranging for an occupational therapist, the nurse is acting as a liaison, connecting the client with a specialized resource to meet their needs, which is a key function of the case management role.
Choice B rationale
An administrator is typically responsible for the management and operations of a healthcare facility or department, including budgeting, staffing, and policy development. This role does not involve direct client care coordination like arranging for specific therapeutic services for an individual client.
Choice C rationale
A nurse consultant provides expert advice and guidance on nursing practice, education, or management to individuals, groups, or organizations. While they may provide recommendations, their primary role is not to directly arrange for services for an individual client.
Choice D rationale
A clinician is a healthcare professional, such as a nurse, who provides direct care to clients. While a nurse is a clinician, arranging for an occupational therapist is a specific coordination function that falls more under the expanded role of a case manager rather than the general duties of a clinician providing direct bedside care.
Correct Answer is B
Explanation
Choice A rationale
Morbidity rate is a measure of the incidence of disease in a specific population over a defined period. It is a broad measure that includes all new cases of a disease, not just those related to a specific exposure like a food item. It does not provide the specific proportion of exposed individuals who became ill.
Choice B rationale
Attack rate is the proportion of a population that becomes ill after exposure to an infectious agent. It is specifically used in foodborne illness and other outbreak investigations to calculate the percentage of individuals who ate a specific food item and then developed the illness, making it the most direct and accurate measure for this purpose.
Choice C rationale
Incidence is a measure of the number of new cases of a disease within a population over a specified time period. While it measures new cases, it is a general term and does not specifically address the proportion of a group exposed to a particular risk factor, like a food item, who then become ill.
Choice D rationale
Prevalence is a measure of the total number of existing cases of a disease in a population at a specific point in time. It includes both new and pre-existing cases. It is not used to determine the proportion of individuals who became ill following a specific exposure, as it does not measure the risk of developing a disease.
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