A nurse is caring for a client who is homeless. Which of the following actions should the nurse take first?
Develop client teaching using a variety of strategies.
Determine the client's understanding of her living situation.
Assist the client to develop goals for obtaining shelter.
Discuss the risks of being homeless with the client.
The Correct Answer is B
Choice B is correct because: Understanding the client's perspective on their living situation will help the nurse determine whether the client is aware of risks (such as unsafe living conditions or being at risk of harm) and if they need immediate interventions, like a safe place to stay or healthcare.
Developing client teaching using a variety of strategies (Choice A is wrong because) may be important for the client's long-term success, but it is not the priority at this time. While securing shelter is essential, the first step is to determine if the client recognizes their need for shelter, and whether they are ready or able to develop those goals themselves. Discussing the risks of being homeless with the client (Choice D is wrong because) can be done once the client's immediate need for shelter is met.
Choice A is wrong because: Developing client teaching using a variety of strategies is not the first priority in this situation.
Choice B is wrong because: Determining the client's understanding of her living situation is not the first priority in this situation.
Choice D is wrong because: Discussing the risks of being homeless with the client is not the first priority in this situation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is Choice A because, "I will be taking medication daily for at least 6 months." Tuberculosis is a bacterial infection that requires treatment with antibiotics for at least 6 months to ensure that the bacteria are completely eradicated. The client's statement indicates that they understand the importance of completing the full course of treatment.
Choice B is wrong because, "I will need to have a special HEPA filter installed in my home," is not the correct answer because although HEPA filters can help reduce the spread of tuberculosis, it is not a priority in client education.
Choice C is wrong because, "I will make sure to stop taking my medication as soon as I start feeling better," is not the correct answer because stopping medication too soon can lead to the development of drug-resistant tuberculosis and the return of symptoms.
Choice D is wrong because, "I can stop taking my medication once my cough goes away," is not the correct answer because a cough can persist even after the bacteria have been eliminated, and stopping medication too soon can lead to a relapse of the disease.
Correct Answer is C
Explanation
The correct answer is Choice C because, "Clients will schedule bone density screenings." Postmenopausal women are at an increased risk for osteoporosis, and bone density screenings can help identify early signs of the disease, enabling early intervention to prevent complications.
Choice A is wrong because, "Clients will start hormone replacement therapy," is not the correct answer because hormone replacement therapy is not appropriate for all women and can have
negative side effects. It is not an appropriate outcome for an educational program.
Choice B is wrong because, "Clients will significantly decrease caloric intake," is not the correct answer because this outcome is not relevant to postmenopausal women specifically. Additionally, significant caloric restriction can lead to malnutrition and other negative health outcomes.
Choice D is wrong because, "Clients will arrange for mammograms every 3 years," is not the correct answer because while mammograms are an important screening tool for breast cancer, they are not specific to postmenopausal women and should be recommended to all women starting at age 40. Bone density screenings are a more appropriate outcome for a program specifically targeting postmenopausal women.
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