A nurse is educating a 50-year-old female client.
Which of the following statements should the nurse include in the teaching?
You should have a complete eye examination every 2 years until the age of 64.
You should have your fasting blood glucose level checked every 6 years.
You should have your stool tested for blood every other year until the age of 74.
You should have your hearing screened every 5 years.
The Correct Answer is A
Choice A rationale
This is the correct answer. Regular eye examinations are important for early detection of eye diseases and conditions. The American Optometric Association recommends adults aged 18 to 60 have an eye exam at least every two years, and adults 61 and older have an eye exam annually.
Choice B rationale
Regular monitoring of blood glucose levels is crucial for individuals with diabetes or those at risk. However, the frequency of checking fasting blood glucose levels can vary depending on individual health status and risk factors.
Choice C rationale
Stool tests for blood are used to detect colorectal cancer. The American Cancer Society recommends that adults aged 45 and older with an average risk of colorectal cancer undergo regular screening with either a high-sensitivity stool-based test or a structural (visual) exam, depending on the patient’s preference and test availability.
Choice D rationale
Regular hearing screenings are important, especially as individuals age. However, the frequency of hearing screenings can vary based on individual risk factors and symptoms.
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Correct Answer is B
Explanation
Choice A rationale
While eating a balanced diet with high-protein snacks is important for healing and overall health, it is not the first thing the nurse should discuss when planning discharge for a client with a pressure injury who requires a special bed at home.
Choice B rationale
The nurse should first ask the client to describe their current living situation. This information is crucial for planning the client’s discharge and ensuring the necessary accommodations can be made for the special bed and other care needs.
Choice C rationale
Discussing the potential for a social worker to help with the cost of supplies is an important part of discharge planning, but it is not the first step. The nurse first needs to understand the client’s living situation and care needs at home.
Choice D rationale
While applying moisture barrier ointment three times a day may be part of the client’s wound care regimen, it is not the first thing the nurse should discuss when planning discharge. The nurse first needs to understand the client’s living situation and care needs at home.
Correct Answer is B
Explanation
Choice A rationale
The statement “There is no genetic link to an increased risk for a gambling disorder” is incorrect. Research has shown that there may be a genetic predisposition to developing gambling disorders, similar to substance use disorders.
Choice B rationale
The statement “Gambling behaviors can increase during times of stress” is correct. Stress is a known trigger for many addictive behaviors, including gambling. Individuals may use gambling as a coping mechanism to escape from or manage stress.
Choice C rationale
The statement “A person must gamble at least four to six times per month to have a gambling disorder” is incorrect. The frequency of gambling does not determine whether a person has a gambling disorder. Instead, it is the impact of gambling on a person’s life and their inability to control their gambling behavior that characterizes a gambling disorder.
Choice D rationale
The statement “Family members should provide financial assistance during times of increased gambling” is incorrect. Providing financial assistance can enable the gambling behavior and prevent the individual from experiencing the consequences of their actions, which may delay the recognition of the problem and seeking help.
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