A home health nurse is caring for a client who has a chronic illness and recently moved in with their adult child. Which of the following statements by the client should indicate to the nurse that the client has adapted to their new situational role?
"I'm looking forward to being able to be independent again."
"I've never been the kind of person to ask others for help."
"It's nice having other people cook for me."
"I really don't know what I'm supposed to do all day."
The Correct Answer is C
A. Expressing a desire for independence indicates the client may not have fully adapted to relying on others yet.
B. Reluctance to ask for help suggests the client is still adjusting and may not have fully embraced the new living arrangement.
C. Expressing enjoyment or appreciation for others cooking for them indicates acceptance of assistance and adaptation to the new living situation.
D. Expressing uncertainty about daily activities suggests a lack of adjustment to the new environment and situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Eyewear should be removed after the gown as part of the sequence to prevent exposure to potential contaminants.
B. The mask should be removed after the gown to prevent contamination of the nurse's face.
C. The nurse should follow the sequence of doffing personal protective equipment (PPE) recommended by the Centers for Disease Control and Prevention (CDC) to prevent contamination. The sequence is: gloves, gown, eyewear, and mask. Gloves are the most contaminated piece of PPE and should be removed first by grasping the outside of one glove at the wrist and peeling it off, then holding it in the gloved hand and sliding the fingers of the ungloved hand under the remaining glove at the wrist and peeling it off over the first glove. The nurse should then discard both gloves in a waste container.
D. The gown is removed after the gloves when leaving the room to prevent carrying any potential contaminants outside the patient's room and to maintain infection control measures.
Correct Answer is D
Explanation
A. Urinary catheter care might be important but is less urgent than maintaining airway patency through endotracheal suctioning.
B. Enteral feeding is important for nutrition, but it's not as immediately critical as managing the client's airway.
C. Wound irrigation is important for wound care but takes precedence after addressing immediate airway concerns.
D. Endotracheal suctioning is crucial for maintaining a patent airway and takes priority due to its impact on breathing and oxygenation.
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