A nurse is caring for a client who has end-stage liver disease and states, "I am aware of the dangers of continuing to drink, but I am choosing not to stop." Which of the following actions should the nurse take to act as a client advocate?

Inform the client that they are better off without medical care if they continue to drink

Report the client's refusal to comply to the charge nurse and end the discussion.

Accept the client's decision and offer to be a resource if the client changes their mind.

Ask the client's family to remove alcohol from the client's home.

Answer and Explanation

The Correct Answer is C

As a client advocate, the nurse's role is to respect the client's autonomy and right to make their own decisions about their health, even if those decisions may not align with medical advice. This approach maintains a therapeutic relationship and respects the client's autonomy while still offering support and resources.

A. is coercive and not respectful of the client's autonomy.

B. involves reporting the client's refusal to comply, which does not respect the client's right to make their own decisions.

D. involves involving the client's family without the client's consent, which undermines the client's autonomy and privacy.

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Correct Answer is A

Explanation

Assessment is the step of the nursing process that involves gathering information from the client, including their health history, current health status, and any other relevant data. This information is essential for identifying the client's health care needs, formulating a plan of care, and implementing appropriate interventions.

A. Community, Primary B. Individual, Primary C. Individual Secondary D. Community, Secondary

Correct Answer is A

Explanation

The ordinance is a primary prevention measure implemented at the community level. Primary prevention aims to prevent the occurrence of a disease or injury. The ordinance prohibiting the sale of tobacco to anyone under 18 years of age fits this definition.
B. This suggests that the ordinance is a primary prevention measure applied at the individual level. However, the ordinance itself is a policy implemented at the community level, targeting the population as a whole rather than individual actions.
C. This suggests that the ordinance is a secondary prevention measure applied at the individual level. Secondary prevention typically involves early detection and treatment of disease or injury.
D. This suggests that the ordinance is a secondary prevention measure implemented at the community level. Secondary prevention typically involves early detection and treatment of disease or injury.

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A nurse is caring for a client who has end-stage liver disease and states, "I am aware of the dangers of continuing to drink, but I am choosing not to stop." Which of the following actions should the nurse take to act as a client advocate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following steps of the nursing process includes gathering information from a client who requires medical treatment?

Correct Answer is A

Explanation

A community health nurse is reviewing a new county ordinance that prohibits the sale of tobacco to anyone under 18 years of age. The nurse should recognize this ordinance as which of the following levels of prevention?

Correct Answer is A

Explanation

A nurse is caring for an older adult client whom the nurse suspects has experienced abuse by a nonpartner. Which of the following principles does the nurse demonstrate by reporting their concern to a supervisor?

A nurse is preparing a workshop on preventing common communicable and infectious diseases in the community. Which of the following prevention methods should the nurse include to target diseases that are transmitted directly?

A nurse is assessing a 2-month-old infant at a well-child visit. The guardian tells the nurse that they would like to postpone vaccinations until the child is older and can tolerate them better. Which of the following responses by the nurse would be appropriate?

A community health nurse is preparing a public service announcement about Lyme disease. Which of the following strategies should the nurse include as an example of secondary prevention?

A community health nurse is teaching a group of school age children about proper handwashing technique. The nurse should identify that this intervention targets which of the following links in the chain of transmission?

A nurse is teaching a 12-year-old child who is newly diagnosed with asthma about managing the condition to prevent asthma attacks. Which of the following statements by the child should indicate to the nurse that the teaching has been effective?

A nurse is completing a follow-up family home visit and discovers that the care plan developed at the last visit was not followed. Which of the following actions should the nurse take first?

The public health nurse is explaining to a newly licensed nurse how to investigate the incidence of breast cancer in the community. Which of the following information should the nurse provide about calculating the incidence rate?