A nurse is assessing an older adult client's perception of sexuality. Which of the following statements made by the client indicates a need for intervention?

"I do not have to worry about using protection now that I am in menopause."

use lubricants to help prevent pain during sex."

1 feel more self-conscious with how I look now that I am older."

"I still think about having sex at my age?

Answer and Explanation

The Correct Answer is A

A.   This statement reflects a misconception about menopause and sexual health, indicating a need for education on safe sex practices.
B.   This statement indicates the client is taking steps to address discomfort during sexual activity, which is appropriate.
C.   This statement reflects body image concerns commonly experienced by older adults and may warrant further exploration but does not necessarily indicate a need for immediate intervention.
D.   This statement indicates a normal interest in sexual activity and does not necessarily indicate a need for intervention.

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Correct Answer is ["B","C","E"]

Explanation

A. Comparing the medication administration record with the medication container should occur before documentation to ensure accuracy.
B. This step ensures that the nurse is administering the correct medication to the client.
C. Comparing the medication against the administration record while removing it from the container helps prevent errors.
D. While important, this step does not directly involve comparing the medication container with the administration record.
E. Verifying the medication at the bedside ensures the right medication is given to the right patient at the right time.

A. A family whose head of household lost their job. B. A family whose house was destroyed in a fire. C. A family whose only child recently died due to cancer. D. A family whose oldest child is moving away for college.

Correct Answer is D

Explanation

A. This represents a situational loss, as it is related to external circumstances such as economic changes.
B. This also represents a situational loss, as it involves the loss of material possessions.
C. This is a situational loss, specifically a loss of a loved one, which is different from a maturational loss.It is unexpected andoccurs due to an external event or situation.
D. This is an example of a maturational loss, as it involves a normal life transition that brings about feelings of loss and adjustment.

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A nurse is assessing an older adult client's perception of sexuality. Which of the following statements made by the client indicates a need for intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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.)

Correct Answer is ["B","C","E"]

Explanation

A community health nurse is caring for a group of families. The nurse should identify that which of the following families is experiencing a maturational loss?

Correct Answer is D

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?

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