A nurse is conducting a mobility assessment on a patient.
The patient can stand up from a seated position using a cane for support.
Which of the following activity levels should the nurse assign to the patient?
Minimal assistance
Moderate assistance
No assistance
Maximum assistance
Maximum assistance
The Correct Answer is C
Choice A rationale
Minimal assistance implies that the patient needs some help but can do most of the task on their own. In this case, the patient is able to stand up from a seated position using a cane for support, which suggests that they do not need assistance.
Choice B rationale
Moderate assistance implies that the patient needs more help to perform the task. The patient in the scenario is able to perform the task independently with the help of a cane.
Choice C rationale
No assistance means that the patient can perform the task independently. This is the most fitting answer because the patient is able to stand up from a seated position using a cane for support.
Choice D rationale
Maximum assistance implies that the patient is unable to perform the task without substantial help. This does not apply to the patient in the scenario as they are able to stand up independently with the help of a cane.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Allowing extra time to communicate with the patient is a crucial action when caring for a patient with impaired speech. This approach respects the patient’s autonomy and ensures that they have the time they need to express themselves.
Choice B rationale
Finishing sentences for the patient can be seen as disrespectful and may lead to frustration. It’s important to allow the patient to communicate at their own pace.
Choice C rationale
While open-ended questions can be useful in some situations, they may be challenging for a patient with impaired speech. It might be more effective to ask yes/no questions or use other communication aids.
Choice D rationale
Visual aids can be very helpful for patients with speech impairments. They can supplement verbal communication and make it easier for the patient to understand and be understood.
Correct Answer is A
Explanation
Choice A rationale
Socioeconomic stressors are related to a person’s social and economic status. Homelessness is a clear example of a socioeconomic stressor, as it is often caused by factors such as unemployment, poverty, and lack of affordable housing.
Choice B rationale
Adventitious stressors are unexpected and often traumatic events that occur outside of the normal course of life. These could include natural disasters, accidents, or violent crimes. While homelessness can be traumatic, it is not considered an adventitious stressor because it is related to the individual’s social and economic circumstances.
Choice C rationale
Developmental stressors are those that occur as a result of going through the normal stages of life, such as starting school, getting a job, getting married, having children, and retiring. Homelessness is not a developmental stressor because it is not a normal or expected part of life.
Choice D rationale
Cultural stressors are related to a person’s cultural background and experiences. While culture can influence a person’s socioeconomic status, homelessness itself is not a cultural stressor.
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