A home health nurse is caring for a group of older adult clients. Which of the following statements by a client is an indication they may be experiencing social isolation?

"I am not able to walk for very long so I ride the stationary exercise bike at the gym."

"I enjoy having lunch with my grandchildren every other Sunday."

"I have a few friends over for coffee a couple of times a week."

"I have a lot of arthritis pain, so I only leave my house to get the mail."

Answer and Explanation

The Correct Answer is D

A.   Although this client may have physical limitations, they are still engaging in social activities by going to the gym, indicating less likelihood of social isolation.
B.   This client has regular social interactions with family members, suggesting they are not socially isolated.
C.   Regular social gatherings with friends indicate social engagement and are not indicative of social isolation.
D.   Restricting activities outside the home to only essential tasks like getting the mail due to pain or other reasons can indicate social isolation and limited social interactions.

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Correct Answer is B

Explanation

A. While durable power of attorney may come into effect if the client becomes incapacitated, it specifically pertains to healthcare decision-making rather than self- care activities.
B. Durable power of attorney for healthcare decisions is enforceable when the client is unable to make or communicate their own healthcare decisions.
C. Terminal illness may be a factor in the decision-making process, but durable power of attorney is not contingent upon terminal illness.
D. Refusal of treatment is a separate issue from durable power of attorney and does not directly relate to the enforceability of a healthcare proxy.

A. "Disconnect the drainage tube if the catheter requires irrigation." B. "Keep the collection bag below bladder level." C. "Use a size 20 French catheter for catheterization." D. "Allow the drainage bag to fill completely before emptying

Correct Answer is B

Explanation

A. Disconnecting the drainage tube can introduce bacteria and increase the risk of infection.
B. Maintaining the collection bag below the level of the bladder prevents backflow of urine and reduces the risk of infection.
C. Catheter size selection is based on individual client factors and is not directly related to infection prevention.
D. Allowing the drainage bag to overfill increases the risk of backflow and infection.

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A home health nurse is caring for a group of older adult clients. Which of the following statements by a client is an indication they may be experiencing social isolation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing information to a client about durable power of attorney. The nurse should include that durable power of attorney is enforceable under which of the following conditions?

Correct Answer is B

Explanation

A charge nurse is teaching a group of nurses about decreasing the risk for catheter- associated urinary tract infections in clients. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

A nurse is preparing to administer prescribed medications to a client. According to the rights of medication administration, when should the nurse compare the medication administration record against the medication container? (Select all that apply.)

A staff nurse is teaching a newly hired nurse how to complete an informed consent document for a client. The staff nurse should include that the nurse's signature on the form confirms which of the following requirements? (Select all that apply)

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