A nurse is assessing a client.
Which of the following factors should the nurse consider?

The client speaks another language.

The client has decreased vision but is wearing glasses.

The client has hearing loss, but hearing aids are functioning well.

The client’s culture.

Answer and Explanation

The Correct Answer is D

Choice A rationale
The client speaking another language is an important factor to consider, but it is not the most comprehensive factor. Language barriers can affect communication and understanding, but they can be addressed with interpreters and translation services. Considering the client’s culture encompasses language and other cultural aspects that influence healthcare.
Choice B rationale
The client having decreased vision but wearing glasses is a specific factor related to sensory perception. While it is important to consider, it does not encompass the broader cultural context that can impact healthcare. Addressing vision issues is part of a comprehensive assessment, but culture provides a more holistic understanding.
Choice C rationale
The client having hearing loss but functioning hearing aids is another specific factor related to sensory perception. It is important to consider for effective communication, but it does not provide a comprehensive understanding of the client’s cultural background and its impact on healthcare.
Choice D rationale
The client’s culture is the most comprehensive factor to consider. Culture influences health beliefs, practices, communication styles, and decision-making. Understanding the client’s cultural background helps the nurse provide culturally competent care, build trust, and address any potential cultural barriers to healthcare.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale
Contacting the patient’s family for approval before resuscitation is not appropriate when there is a Do Not Resuscitate (DNR) order. A DNR order is a legal document that indicates the patient’s wish not to undergo resuscitation in the event of cardiac or respiratory arrest.
Healthcare providers must respect this order and not seek additional approval from family members.
Choice B rationale
Respecting the order and refraining from initiating resuscitation is the correct action when there is a DNR order. This legal document reflects the patient’s decision to forgo resuscitation efforts, and healthcare providers are obligated to honor this decision to respect the patient’s autonomy and wishes.
Choice C rationale
Ignoring the order and proceeding with resuscitation is a violation of the patient’s rights and wishes. A DNR order must be followed to ensure that the patient’s preferences are respected, and disregarding it can lead to legal and ethical consequences.
Choice D rationale
Implementing the order only if the patient is in the ICU is incorrect. A DNR order applies in all healthcare settings, not just the ICU. Healthcare providers must follow the DNR order regardless of the patient’s location within the healthcare facility.

A. The UAP recognizes that due to cultural preferences, a female should perform certain tasks. B. The UAP performs all the tasks independently. C. The UAP calculates intake and output accurately. D. The UAP encourages autonomy by allowing the client to feed themselves.

Correct Answer is D

Explanation

Choice A rationale
Recognizing cultural preferences is important, but it does not demonstrate the use of the Self- Care Model. The Self-Care Model focuses on promoting autonomy and self-care.
Choice B rationale
Performing all tasks independently does not align with the Self-Care Model, which emphasizes promoting the client’s ability to care for themselves.
Choice C rationale
Calculating intake and output accurately is important, but it does not demonstrate the use of the Self-Care Model. The Self-Care Model focuses on promoting autonomy and self-care.
Choice D rationale
Encouraging autonomy by allowing the client to feed themselves is the correct answer. This action aligns with the Self-Care Model, which emphasizes promoting the client’s ability to care for themselves.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a client. Which of the following factors should the nurse consider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What action should healthcare providers take when there is a Do Not Resuscitate (DNR) order?

Correct Answer is B

Explanation

A nurse instructs the UAP using the Self-Care Model. Which action demonstrates use of the Self-Care Model when providing care?

Correct Answer is D

Explanation

A nurse on a medical-surgical unit is preparing to contact a provider about a client’s condition. The nurse notes the client’s post-op pain is 8/10, BP is 140/90, and HR is 110. The nurse should include information about the client in which component of the SBAR report?

A nurse is considering the use of restraints. The nurse should:

A nurse is demonstrating how to administer insulin to a diabetic patient. The nurse is implementing which level of prevention?

What type of research is a nurse conducting if they are using a quasi-experimental design?

A nurse is planning a community smoking cessation management program. Which of the following SMART goals should the nurse set for the client?

Which of the following is one of the five Rights of Delegation?

A nurse is caring for a client with cognitive impairment. Which of the following actions should the nurse take to enhance understanding?

After administration of an antihypertensive medication, the nurse notes the client’s blood pressure decreases by 10 points. Which part of the nursing process is being fulfilled?

A nurse is assessing a client.
Which of the following factors should the nurse consider?