A nurse is developing a care plan for Mrs. Thompson who is in the end-of-life stage. After assessing the client, the nurse has identified several potential problems. Which of the following hypotheses should the nurse prioritize when planning care for this client?

The client may benefit from additional laboratory tests to monitor disease progression.

The client may experience pain and discomfort due to the progression of their illness.

The client may need increased physical therapy sessions to maintain mobility.

The client may have elevated blood pressure due to an acute exacerbation of their condition.

Answer and Explanation

The Correct Answer is B

A. Additional laboratory tests: While monitoring is essential, at this stage, the priority is comfort, not disease progression.

B. Pain and discomfort: Mrs. Thompson is nearing the end of life and likely experiencing pain due to her advanced metastatic cancer. Pain management should always be a priority in palliative care.

C. Physical therapy: Physical therapy is not typically a priority in the end-of-life stage where the focus is on comfort rather than mobility.

D. Elevated blood pressure: This is unlikely to be the primary concern at this stage. Blood pressure is usually low, and interventions should be focused on comfort and symptom relief.

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Correct Answer is ["A","B","D","E"]

Explanation

A. Use materials written in the client's spoken language. Providing information in the client's preferred language ensures understanding and facilitates informed decision-making.

B. Choose materials that include culturally relevant information and examples. Cultural relevance helps the client relate to and understand the information in a meaningful way.

C. Use materials written at a twelve-grade level: Educational materials should generally be written at a 5th to 6th-grade reading level to ensure accessibility for a broad audience.

D. Use pictures. Pictures can enhance comprehension by providing visual aids, especially for clients with limited language proficiency.

E. Provide a variety of educational materials. Offering materials in multiple formats (e.g., written, visual, or video) accommodates different learning preferences.

A. Developing and implementing a culturally competent health education program tailored to underserved populations to improve access to preventive services. B. Prioritizing high-cost interventions for clients with advanced diseases while not addressing preventive care for at-risk populations. C. Providing standard health education materials to all clients without regard for their cultural, linguistic, or socioeconomic backgrounds. D. Focusing only on individual client care in a clinic without considering social determinants of health that may affect the client's well-being.

Correct Answer is A

Explanation

A. Developing and implementing a culturally competent health education program tailored to underserved populations to improve access to preventive services. This action aligns with Healthy People 2030’s goals to reduce health disparities by addressing cultural and linguistic needs while improving access to care, particularly preventive services. This demonstrates a proactive and equitable approach.

B. Prioritizing high-cost interventions for clients with advanced diseases while not addressing preventive care for at-risk populations. This approach does not align with Healthy People 2030’s focus on prevention and reducing health disparities. It emphasizes reactive care rather than addressing upstream factors that lead to disparities.

C. Providing standard health education materials to all clients without regard for their cultural, linguistic, or socioeconomic backgrounds. Providing standard materials without customization overlooks individual needs, perpetuating health disparities rather than addressing them.

D. Focusing only on individual client care in a clinic without considering social determinants of health that may affect the client's well-being. Social determinants of health are critical in reducing disparities, and neglecting these factors is inconsistent with Healthy People 2030’s objectives.

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A nurse is developing a care plan for Mrs. Thompson who is in the end-of-life stage. After assessing the client, the nurse has identified several potential problems. Which of the following hypotheses should the nurse prioritize when planning care for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a teaching plan for a client who speaks limited English and is scheduled for a surgical procedure. Which of the following guidelines should the nurse plan to use when selecting written educational materials for the client? (Select all that apply.)

Correct Answer is ["A","B","D","E"]

Explanation

The nurse is reviewing strategies to address health disparities in a community setting in alignment with Healthy People 2030 objectives. Which of the following actions by the nurse best demonstrates the application of Healthy People 2030 goals to reduce health disparities?

Correct Answer is A

Explanation

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