A community health nurse provides care for numerous older adult clients. Which client would the nurse identify as demonstrating a deficit in knowledge, experience, and skills that could potentially compromise health?

A 79-year-old woman who has dysphagia following her recent stroke

An 80-year-old man, newly diagnosed with diabetes, who shows an inability to manipulate glucometer and test strips

An 89-year-old man who has recently lost the ability to climb stairs due to an exacerbation of his heart failure

A 78-year-old woman who states that she lost all hope since her spouse's death 5 months prior and no longer wants to stay active

Answer and Explanation

The Correct Answer is B

A. A 79-year-old woman who has dysphagia following her recent stroke:

Dysphagia, or difficulty swallowing, following a stroke is a serious condition that requires careful management to prevent complications such as aspiration pneumonia or malnutrition. While dysphagia presents challenges, it may not necessarily indicate a deficit in knowledge, experience, or skills on the part of the client. Dysphagia management typically involves interventions by healthcare professionals rather than self-management by the client.

B. An 80-year-old man, newly diagnosed with diabetes, who shows an inability to manipulate glucometer and test strips:

This scenario suggests a deficit in knowledge and skills related to managing diabetes, a chronic condition that requires ongoing monitoring of blood glucose levels. Proper use of a glucometer and test strips is essential for self-management of diabetes. The client's inability to manipulate these devices indicates a potential gap in understanding or ability to perform necessary self-care tasks, which could compromise his health if left unaddressed.

C. An 89-year-old man who has recently lost the ability to climb stairs due to an exacerbation of his heart failure:

Losing the ability to climb stairs due to heart failure exacerbation is a significant functional decline rather than a deficit in knowledge, experience, or skills. While it may impact the client's mobility and quality of life, it doesn't necessarily indicate a lack of understanding or skills that could compromise health. The focus for this client would be on managing the exacerbation of heart failure and potentially regaining functional abilities through rehabilitation or other interventions.

D. A 78-year-old woman who states that she lost all hope since her spouse's death 5 months prior and no longer wants to stay active:

This scenario suggests emotional distress and loss of motivation following the death of the client's spouse rather than a deficit in knowledge, experience, or skills related to health management. While emotional well-being is important for overall health, addressing this issue would involve psychosocial support and interventions rather than focusing solely on deficits in knowledge or skills.

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Correct Answer is B

Explanation

A. Larceny: Larceny refers to the unlawful taking of someone else's personal property with the intent to permanently deprive them of it. In this scenario, larceny is not applicable because the nurse's actions do not involve theft or misappropriation of property.

B. Negligence: Negligence occurs when a person fails to provide reasonable care, resulting in harm to another person. In this case, the nurse performed a medical procedure without the necessary education and experience, leading to permanent nerve damage in the client. This failure to provide appropriate care constitutes negligence.

C. Assault: Assault involves the threat of physical harm to another person that creates a reasonable fear of imminent harmful or offensive contact. There is no indication in the scenario that the nurse threatened the client with physical harm, so assault is not applicable here.

D. Invasion of privacy: Invasion of privacy occurs when someone intrudes upon another person's private affairs without permission, causing them distress or embarrassment. This concept typically relates to issues such as unauthorized access to medical records or surveillance. There is no mention of invasion of privacy in the scenario provided.

A. Ensure that medical treatments comply with cultural expectations B. Increase compliance among minority clients C. Provide individualized and culturally sensitive care D. Ensure that clients get the respect customary in their own ethnic group

Correct Answer is C

Explanation

A. Ensure that medical treatments comply with cultural expectations:

- This choice suggests the importance of aligning medical treatments with the cultural expectations of patients. While it's crucial to consider cultural factors when providing healthcare, the primary goal is not just to comply with cultural expectations, but rather to ensure that care is effective, respectful, and aligned with the individual's values and preferences within their cultural context.

B. Increase compliance among minority clients:

- This choice implies a focus on increasing adherence or compliance with medical recommendations among minority clients. While improving compliance is an important aspect of healthcare delivery, it should not be the sole focus when considering cultural factors. Instead, understanding culture should aim to provide culturally competent care that respects the beliefs, values, and preferences of minority clients, thereby fostering trust, engagement, and better health outcomes.

C. Provide individualized and culturally sensitive care:

- This choice accurately reflects the essence of understanding culture in healthcare. Providing individualized and culturally sensitive care involves recognizing and respecting the unique cultural backgrounds, beliefs, values, and preferences of each patient. It emphasizes the importance of tailoring care to meet the specific needs and preferences of diverse older adults within their cultural context, thereby promoting effective communication, engagement, and trust in the healthcare provider.

D. Ensure that clients get the respect customary in their own ethnic group:

- While ensuring respect for clients is indeed important, focusing solely on the respect customary in their own ethnic group may overlook the diversity of cultural backgrounds and preferences within that group. Understanding culture in healthcare goes beyond adherence to specific customs or norms and involves recognizing and respecting the individuality and diversity of each patient's cultural background and preferences. Therefore, while respect is important, the broader goal is to provide individualized and culturally sensitive care that respects the unique cultural perspectives and preferences of each patient.

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A community health nurse provides care for numerous older adult clients. Which client would the nurse identify as demonstrating a deficit in knowledge, experience, and skills that could potentially compromise health?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Correct Answer is C

Explanation

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