A nurse is preparing an older adult client for a physical examination the provider is about to perform. Which of the following actions should the nurse take?

Inform the client that the provider will examine sensitive areas first.

Make sure the room temperature is cool.

Explain to the client what is about to happen.

Provide music as an environmental distraction.

Answer and Explanation

The Correct Answer is C

Explaining the examination process to the client helps reduce anxiety and uncertainty, especially for older adults who may be unfamiliar with the procedures or have concerns about the examination. Providing clear and concise explanations in a respectful manner allows the client to feel more informed and involved in their care, which can enhance their overall experience and cooperation during the examination.

A, Sensitive areas are preferably examined last

B, Examination should be done in relatively warm environment to ensure comfort for the client

D, Distracting the client can help alley anxiety but is not crucial unless the client requests so.

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Correct Answer is B

Explanation

This question is more focused and directly addresses the reason for the client's current admission. It prompts the client to discuss their chief complaint or presenting symptoms, which is essential information for the nurse to gather during the health history interview.
A. This question is too broad and may overwhelm the client, especially during the initial stages of the health history interview.
C. While discussing the client's feelings about hospitalization is important for providing emotional support and understanding their perspective, this question may not directly promote the discussion of health history data.
D. This question invites the client to share their perspective and provides an opportunity for them to express any immediate health issues or worries they may have. However, it is too broad.

A. "Do you have family who can help you when you get home?" B. "Has anything stressful happened recently?" C. "You really do need to stop smoking: your kids need you." D. How would you describe your feelings about the procedure?

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

Explanation

A. This statement is non-judgmental. It focuses on assessing the patient's support system and potential resources for assistance after surgery without implying any judgment about the patient's circumstances.
B. This statement is non-judgmental. It aims to assess the patient's current stressors or life events that may impact her emotional well-being and coping abilities without implying any judgment.
C. This statement is judgmental. It conveys a directive and implies criticism or disapproval of the patient's smoking habit. It may also imply blame for the patient's health condition, which can be counterproductive and may cause the patient to feel defensive or discouraged.
D. This statement is non-judgmental. It encourages the patient to express her thoughts and emotions about the upcoming procedure without imposing any judgment or criticism.

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A nurse is preparing an older adult client for a physical examination the provider is about to perform. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to collect health history data during a client's admission. Which of the following questions should the nurse use to promote this discussion?

Correct Answer is B

Explanation

A 35-year-old woman has been admitted to the hospital for a hysterectomy secondary to uterine cancer caused by smoking, and the nurse is collecting subjective data prior to surgery. Which statements by the nurse could be construed as non-judgmental? (Select All that Apply.)

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

Explanation

A nurse is using the Cultural Formulation Interview (CFI) tool while collecting a health history from a client who is from a culture different than the nurse. Which of the following statements should the nurse make?

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