A nurse is assessing internal variables that are affecting the patient's health status. Which area should the nurse assess?

Socioeconomic factors

Family practices

Cultural background

Perception of functioning

Answer and Explanation

The Correct Answer is D

A) Socioeconomic factors:
Socioeconomic factors, such as income, education, and employment status, are considered external variables that influence a patient's health. These factors impact access to resources and healthcare, but they are not internal variables. Internal factors relate to personal perceptions, behaviors, and beliefs that the patient has regarding their health.

B) Family practices:
Family practices also fall under external variables. These include the health behaviors, habits, and routines practiced by the family, which can influence a patient’s health but are not internal to the individual. The nurse should assess how family practices affect health but not as internal variables.

C) Cultural background:
Cultural background is another external variable that can influence health practices, beliefs, and behaviors. It shapes how patients perceive illness, health care, and healing. While important to assess for understanding a patient's worldview, it does not fall under the category of internal variables.

D) Perception of functioning:
Perception of functioning is an internal variable because it reflects how the patient views their own health status and capabilities. This includes their sense of well-being, physical limitations, and emotional health. A patient’s perception of their functioning can directly impact their decision-making and actions related to their health, and it is essential for the nurse to assess this to guide care effectively.

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 C

Explanation

A) Ensure four fingers fit under the restraints to prevent constriction: While it is important to ensure that restraints are not too tight, the general recommendation is to allow enough room for two fingers, not four. The primary goal is to prevent impaired circulation and nerve damage while also ensuring that the restraint is secure enough to prevent the patient from causing harm to themselves or others. Four fingers may be too loose and could lead to unnecessary movement.

B) Secure the restraints to the lowest bar of the side rail: Restraints should never be secured to a side rail, as the side rails may move and cause the restraint to become tight, which could lead to injury. Restraints should be tied to a fixed part of the bed frame to prevent them from becoming loose or causing undue pressure. Securing to side rails can increase the risk of harm.

C) Secure the restraints using a quick-release tie: This is the correct action. The nurse should always use a quick-release tie to ensure that the restraints can be removed immediately if needed. Quick-release ties allow for rapid removal in case of emergency, reducing the risk of injury or distress to the patient. This ensures safety while still maintaining control over the restraint application.

D) Anticipate removing the restraints every 4 hr: While restraints should be removed periodically to check the skin, circulation, and comfort of the patient, the time frame for removal varies depending on the patient's condition and the facility's protocol. Restraints should be removed more frequently than every 4 hours, if possible, to ensure the patient’s safety and comfort. The nurse should follow the facility's specific protocol for restraint monitoring and removal.

A. Promoting a society in which people live long healthy lives. B. Allowing people to continue current behaviors to reduce the stress of change. C. Focusing on illness treatment to provide fast recuperation D. Focusing only on health changes that will lead to better local communities:

Correct Answer is A

Explanation

A) Promoting a society in which people live long healthy lives: Healthy People 2030 emphasizes the promotion of overall health and well-being, aiming to improve the quality of life by encouraging preventive care, addressing health disparities, and promoting healthy lifestyle choices across all populations. The goal is to increase life expectancy and ensure that people live longer, healthier lives by focusing on prevention, health education, and accessible healthcare.

B) Allowing people to continue current behaviors to reduce the stress of change: This approach is not aligned with the goals of Healthy People 2030. While reducing stress is important, the initiative encourages individuals to make lifestyle changes that promote better health outcomes, such as adopting healthier diets, increasing physical activity, and quitting harmful behaviors like smoking. Promoting ongoing unhealthy behaviors would not lead to improved health outcomes.

C) Focusing on illness treatment to provide fast recuperation: Healthy People 2030 focuses more on prevention and health promotion rather than solely on illness treatment. The emphasis is on addressing the root causes of health issues to prevent diseases from occurring in the first place, rather than just providing treatment for illness after it develops.

D) Focusing only on health changes that will lead to better local communities: While Healthy People 2030 does include goals related to improving health within communities, its focus is broader. It includes national health objectives to address issues on a large scale, impacting all populations, and improving health outcomes in every area, not just specific localities. The goal is to ensure that health improvements are seen across the entire nation.

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 internal variables that are affecting the patient's health status. Which area should the nurse assess?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newly licensed nurse applying prescribed wrist restraints on client. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is following the goals of Healthy People 2030 to provide care. Which action should the nurse take?

Correct Answer is A

Explanation

A nurse is caring for an older adult client who states, "I am afraid that I may fall while walking to the bathroom during the night. Which of the following actions should the nurse take?

A nurse is using Maslow's hierarchy to prioritize care for an anxious patient that is not eating and will not see family members. Which area should the nurse address first?

A nurse at an extended-care facility is instructing a class of assistive personnel (AP) about client use of assistive devices during ambulations. Which of the following instructions should the nurse give the APs about the clients' use of a cane?

A nurse is assessing a client's ability to ambulate with crutches using a three-point gait. Which of the following actions should the nurse identify as a risk to the client's safety?

A group of nurses are discussing risk factors for transmission of human immunodeficiency virus (HIV) from clients: Which of the following individuals should the nurse identify as being at the greatest risk for contracting HIV?

A nurse is presenting a class about fall prevention to a group of assisted-living residents. Which of the following statements by a resident indicates an understanding of the teaching?

A nurse is teaching a client who has a history of falls about home safety. Which of the following statements should the nurse identify as an indication that the client understands the instructions?

A nurse reviews an immobilized patient's laboratory results and discovers that his/her calcium lab values are abnormally high (Hypercalcemia). Which condition will the nurse monitor for most closely in this patient?