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.

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Correct Answer is A

Explanation

A) Activate the fire alarm: The nurse's priority in the event of a fire is to activate the fire alarm immediately. This alerts others in the building, including staff and emergency responders, to the potential danger. It initiates the necessary protocol to ensure the safety of all individuals in the area and enables timely evacuation if needed. Ensuring that others are aware of the fire risk is the first critical step in managing the situation effectively.

B) Move any clients in the immediate vicinity: While moving clients away from the immediate danger is important, it should come after the alarm has been activated. The fire alarm alerts everyone to evacuate or take necessary precautions, allowing the nurse and other staff to focus on evacuation or safety measures. The priority is to ensure that everyone is aware of the potential fire hazard and follows the evacuation procedures.

C) Close the fire doors on the unit: Closing fire doors is part of fire containment, but it should occur after the alarm has been activated and the fire response plan is in motion. Fire doors are designed to limit the spread of fire, but the initial priority is to alert others to the fire, activate the alarm, and ensure everyone is aware of the emergency situation.

D) Use a fire extinguisher to put out the fire: Using a fire extinguisher is appropriate if the fire is small and manageable, but activating the fire alarm is still the first priority. In cases of small fires, if safe to do so, the nurse can attempt to put it out. However, the primary focus should be on alerting everyone in the facility to the danger so that emergency protocols can be followed.

A. Try to do as much as possible for the patient. B. Encourage dairy products. C. Monitor intake of calcium D. increase intake of caffeinated drinks.

Correct Answer is C

Explanation

A) Try to do as much as possible for the patient:
While it's important to provide support to a patient with osteoporosis, especially when they are at risk of fractures, the nurse should focus on empowering the patient to maintain as much independence as possible. Over-involvement in their care may limit their ability to maintain or improve mobility and self-care abilities. The priority is addressing nutritional needs and bone health.

B) Encourage dairy products:
While dairy products are an excellent source of calcium, this approach is not suitable for a patient with lactose intolerance. Consuming dairy could lead to discomfort and digestive issues such as bloating, cramps, and diarrhea, which can worsen the patient's symptoms. Alternative sources of calcium should be recommended instead.

C) Monitor intake of calcium:
This is the most appropriate intervention. Monitoring the patient's calcium intake is crucial for individuals with osteoporosis to help strengthen bones and prevent fractures. The nurse can recommend calcium-rich foods that are lactose-free, such as fortified plant-based milks, leafy green vegetables, and fortified cereals. Calcium supplements may also be necessary to meet the daily requirements.

D) Increase intake of caffeinated drinks:
Increasing caffeinated drinks is not advisable for a patient with osteoporosis, as excessive caffeine consumption can interfere with calcium absorption and contribute to bone loss. It is best to limit caffeine intake and focus on promoting good nutritional habits to support bone health.

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Correct Answer is C

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