A nurse implementing the principles of intersectionality will focus on what patient characteristic?

Experiences.

Illness.

Values.

Health.

Answer and Explanation

The Correct Answer is A

Choice A reason: Intersectionality examines how overlapping identities (e.g., race, gender, socioeconomic status) shape unique experiences of health and care. Focusing on experiences allows nurses to address disparities and tailor interventions, ensuring equitable care. This approach recognizes systemic factors, critical for understanding patients’ barriers and needs in diverse healthcare contexts.

Choice B reason: Focusing on illness alone overlooks intersectionality’s emphasis on how social identities shape health experiences. Illness is a clinical factor, not a social construct like race or class. This narrow focus risks missing systemic inequities, reducing care effectiveness for patients with complex social determinants influencing their health outcomes.

Choice C reason: Values are personal beliefs, not the primary focus of intersectionality, which examines social identities and systemic inequities shaping experiences. Prioritizing values risks ignoring structural factors like discrimination, limiting the nurse’s ability to address disparities and provide culturally sensitive care critical for patients from marginalized backgrounds.

Choice D reason: Health is an outcome, not the focus of intersectionality, which explores how identities like ethnicity or gender create unique experiences of care access and treatment. Focusing on health alone misses social determinants, risking generic care that fails to address inequities, critical for equitable nursing practice in diverse populations.

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Correct Answer is D

Explanation

Choice A reason: Short naps (15-20 minutes) are recommended for narcolepsy to manage excessive daytime sleepiness without disrupting nighttime sleep. This aligns with evidence-based management, improving alertness. No intervention is needed, as this practice supports symptom control, enhancing daily function and reducing sleep attacks in narcolepsy patients.

Choice B reason: Taking antidepressants, like SSRIs or SNRIs, is standard for narcolepsy to manage cataplexy or sleep disturbances. This is appropriate and requires no intervention unless misuse occurs. The nurse would ensure proper dosing, as antidepressants support symptom control, improving quality of life without disrupting narcolepsy management strategies.

Choice C reason: Chewing gum regularly is benign and unrelated to narcolepsy management. It may help with alertness but doesn’t warrant intervention. Unlike environmental factors like room temperature, gum has no significant impact on sleep quality or narcolepsy symptoms, making it an irrelevant focus for nursing education or correction.

Choice D reason: Sleeping in a hot, stuffy room disrupts sleep quality, exacerbating narcolepsy symptoms like fragmented sleep or daytime sleepiness. The nurse intervenes to promote a cool, well-ventilated sleep environment, critical for optimizing rest. Poor sleep hygiene worsens narcolepsy, reducing treatment efficacy and increasing risks of sleep attacks or fatigue.

A. Depression B. Muscle fatigue C. Hypertension D. Hypothyroidism

Correct Answer is A

Explanation

Choice A reason: Depression is strongly linked to insomnia in older adults, causing difficulty falling asleep due to rumination, low mood, or altered sleep architecture. Assessing for depression is critical, as it may underlie the sleep disturbance, requiring targeted interventions like therapy or antidepressants to improve sleep and mental health.

Choice B reason: Muscle fatigue may cause physical discomfort but is not a primary cause of difficulty falling asleep. It is more likely to affect sleep quality than initiation. Depression is a more common and significant contributor to insomnia in older adults, making this an incorrect choice.

Choice C reason: Hypertension can be associated with sleep apnea but is not directly linked to difficulty falling asleep. It may result from poor sleep but is less likely the cause. Depression is a more prevalent cause of insomnia, making this a less relevant condition to assess.

Choice D reason: Hypothyroidism can cause fatigue and sleepiness, not difficulty falling asleep. It is less commonly associated with insomnia compared to depression, which significantly disrupts sleep onset in older adults. This condition is less relevant to the patient’s presentation, making it incorrect.

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A nurse implementing the principles of intersectionality will focus on what patient characteristic?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The patient has just been diagnosed with narcolepsy. The nurse teaches the patient about management of the condition. Which information from the patient will cause the nurse to intervene?

Correct Answer is D

Explanation

The nurse is completing an assessment on an older-adult patient who is having difficulty falling asleep. Which condition will the nurse further assess for in this patient?

Correct Answer is A

Explanation

A severely depressed patient cannot state any positive attributes to life. The nurse patiently sits with this patient and assists the patient to identify several activities the patient is actually looking forward to in life. Which spiritual concept is the nurse trying to promote?

The nurse is caring for a patient diagnosed with expressive aphasia from a traumatic brain injury. Which goal will the nurse include in the plan of care?

A nurse is caring for an older-adult patient on bed rest with potential sensory deprivation. Which action will the nurse take?

A nurse is called into the supervisor’s office regarding deteriorating work performance since the loss of a spouse 2 years ago. The nurse begins sobbing and says, “I’m falling apart at home as well.” Which type of grief is the nurse experiencing?

The patient has a colostomy but has not yet been able to look at it. The nurse teaches the patient how to care for the colostomy. The nurse sits with the patient and together they form a plan on how to approach dealing with colostomy care. Which caring process is the nurse performing?

A nurse is teaching the staff about the sleep cycle. Which period lasts 10 to 30 minutes?

A nurse is using Campinha-Bacote’s model of cultural competency. Which areas will the nurse focus on to become competent? (Select all that apply)

The nurse is caring for a patient who professes to being an agnostic. Which information should the nurse consider when planning care for this patient’s belief system?