A nurse is caring for a client who is homeless. What should be the nurse’s initial action?

Discuss the risks of being homeless with the client.

Determine the client’s understanding of their living situation.

Assist the client to develop goals for obtaining shelter.

Develop client teaching using a variety of strategies.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Discussing the risks of being homeless with the client is an important part of understanding their situation, but it is not the nurse’s initial action when caring for a client who is homeless. The nurse’s initial action should be to establish trust and understand the client’s perspective.

Choice B rationale

This is the correct answer. Determining the client’s understanding of their living situation is the nurse’s initial action when caring for a client who is homeless. This helps the nurse to understand the client’s perspective and to tailor care to meet the client’s unique needs.

Choice C rationale

Assisting the client to develop goals for obtaining shelter is an important part of the care plan for a client who is homeless, but it is not the nurse’s initial action. The nurse’s initial action should be to establish trust and understand the client’s perspective.

Choice D rationale

Developing client teaching using a variety of strategies is an important part of nursing care, but it is not the nurse’s initial action when caring for a client who is homeless. The nurse’s initial action should be to establish trust and understand the client’s perspective.

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Correct Answer is C

Explanation

Choice A rationale

Providing nutrition education to employees who have a BMI of greater than 30 is an example of primary prevention. It aims to prevent the onset of disease (in this case, obesity-related diseases) by promoting healthy behaviors.

Choice B rationale

Providing education about safety and injury prevention for employees is also an example of primary prevention. It aims to prevent injuries before they occur.

Choice C rationale

Screening employees who have been exposed to high levels of noise for hearing loss is an example of secondary prevention. Secondary prevention aims to identify and treat an illness or disease at an early stage.

Choice D rationale

Coordinating disaster planning efforts at the factory is an example of tertiary prevention. It aims to manage and mitigate the effects of a disaster, which is an existing condition.

A. Ask for assistance from local spiritual leaders if there is a language barrier. B. Collect all the data on the first visit with the workers. C. Incorporate one’s implicit bias into planned delivery of care. D. Interview community leaders for a perspective of community life.

Correct Answer is D

Explanation

Choice A rationale

While seeking assistance from local spiritual leaders can be helpful in understanding a community’s culture, it is not the only or necessarily the best way to assess a group’s culture. Cultural assessment involves a broader range of activities.

Choice B rationale

Collecting all data on the first visit may not be feasible or appropriate. Cultural assessment is an ongoing process that involves building trust and rapport with the community.

Choice C rationale

Incorporating one’s implicit bias into planned delivery of care is not appropriate. Nurses should strive to provide culturally competent care, which involves recognizing and addressing their own biases.

Choice D rationale

Interviewing community leaders can provide valuable insights into community life and culture. This is an important part of cultural assessment and can help inform the planning of culturally appropriate care.

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A nurse is caring for a client who is homeless. What should be the nurse’s initial action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An occupational health nurse at a factory is planning upcoming health programs for employees. Which of the following actions demonstrates the use of secondary prevention strategies?

Correct Answer is C

Explanation

A community health nurse is planning care for a group of migrant workers.What activity should the nurse plan to engage in when assessing the clients’ culture?

Correct Answer is D

Explanation

A home health nurse is assessing the health history of a new client.Which of the following conditions should the nurse identify as increasing the client’s risk for falls?

A school nurse is examining a child who has a toothache and bruises on both knees.Which of the following observations should the nurse report as a potential sign of maltreatment at home?

A public health nurse learns that a client is being treated for active tuberculosis.What action should the nurse take to prevent the spread of tuberculosis within the community?

A nurse is employed at a hospice organization.Which of the following conditions must a patient meet to be eligible for hospice care?

A faith community nurse is planning care for a client who has been diagnosed with end-stage breast cancer. Which of the following interventions should the nurse include in the plan?

What isolation precautions should be recommended for a client who has laryngeal tuberculosis?

A first-response team is working at the location of a bombing incident.A nurse triaging a group of clients should give treatment priority to which client?

A hospice nurse is planning care for a patient who is near death. Which of the following actions should the nurse include in the patient’s plan of care to promote the patient’s comfort?