A nurse is counseling an older adult client whose partner died suddenly the previous month. The client cries periodically and rarely makes eye contact. Which of the following questions is the priority for the nurse to ask?

"What are you looking forward to each day?"

"Can you tell me about your sleep patterns?"

"Have you ever felt like you don't want to live anymore?"

"Are you taking any medications at this time?"

Answer and Explanation

The Correct Answer is C

A) "What are you looking forward to each day?": While asking about daily expectations can provide insight into the client's coping mechanisms and hopefulness, it does not immediately address potential safety concerns. It is a helpful question for assessing the client's adjustment but not the priority if there is a concern about suicidal ideation.

B) "Can you tell me about your sleep patterns?": Sleep patterns are important for understanding overall well-being, especially during grief. However, this question is secondary to addressing the immediate risk of self-harm. Assessing sleep can come after determining if the client is having suicidal thoughts.

C) "Have you ever felt like you don't want to live anymore?": This question is crucial because it directly assesses the client's risk of suicidal ideation or self-harm. Given the client's recent loss and current symptoms, it is important to evaluate if there is a risk to their safety, making this the priority question.

D) "Are you taking any medications at this time?": While it is important to know about the client's medication use, this question does not address the immediate risk of self-harm or assess the psychological impact of the recent loss. Medication information is less urgent compared to evaluating suicidal thoughts.

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Correct Answer is A

Explanation

A) Request return instructions in the client's own words:
Asking the client to repeat instructions in their own words is an effective strategy for ensuring understanding, especially for individuals with low health literacy. This technique, known as the "teach-back" method, allows the nurse to assess the client’s comprehension and clarify any misunderstandings.

B) Provide brochures that reflect a seventh-grade reading level:
While providing materials at a lower reading level can be helpful, it may not be sufficient for individuals with very low health literacy. It is essential to use multiple strategies, including verbal communication and interactive methods, to ensure understanding.

C) Limit teaching materials to written information:
Relying solely on written information is not advisable for clients with low health literacy. Visual aids, demonstrations, and verbal explanations should be included to enhance comprehension and retention of information.

D) Avoid repetition of information within each session:
Repetition is actually beneficial for clients with low health literacy. Repeating key information helps reinforce learning and ensures that the client retains the essential points discussed during the teaching sessions.

A. "You should limit medications containing aspirin while taking this supplement." B. "Notify your provider if you develop tinnitus." C. "You should increase your daily intake of protein while taking this supplement." D. "Taking glucosamine can decrease blood glucose levels."

Correct Answer is D

Explanation

A. "You should limit medications containing aspirin while taking this supplement.": There is no direct interaction between glucosamine and aspirin that requires limiting the use of aspirin. However, glucosamine and aspirin generally do not have a known interaction that would necessitate this precaution.

B. "Notify your provider if you develop tinnitus.": Tinnitus is not a known side effect of glucosamine. This statement would be more relevant for medications such as aspirin or other drugs known to cause tinnitus.

C. "You should increase your daily intake of protein while taking this supplement.": There is no specific requirement to increase protein intake when taking glucosamine. The focus should be on managing osteoarthritis symptoms and following general dietary recommendations rather than specifically increasing protein.

D. "Taking glucosamine can decrease blood glucose levels.": Some studies suggest that glucosamine might influence blood glucose levels, particularly in people with diabetes. This statement is relevant because it highlights the potential impact of glucosamine on glucose metabolism, which is important for clients managing diabetes or blood glucose levels.

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A nurse is counseling an older adult client whose partner died suddenly the previous month. The client cries periodically and rarely makes eye contact. Which of the following questions is the priority for the nurse to ask?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning a series of teaching sessions about weight management with a client who has low health literacy. Which of the following strategies should the nurse use?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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