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

Maintaining a nonjudgmental attitude allows the client to feel comfortable discussing their alcohol use without fear of criticism or condemnation. It also helps foster honest communication and promotes engagement in the treatment process.

A. It's important to balance sympathy with professionalism and maintain appropriate boundaries.

C. Expressing disapproval of the client's substance abuse can be counterproductive and may hinder the therapeutic relationship.

D. While it's important for the nurse to maintain professionalism and emotional boundaries, completely avoiding displaying any emotional response may come across as cold or detached.

A. Assessment of the lower extremities B. Assessment of the posterior thorax C. Assessment of the abdomen D. Assessment of the genitalia and rectum

Correct Answer is D

Explanation

Given the traumatic nature of sexual assault and the potential for re-traumatization, the assessment of the genitalia and rectum should be conducted last. This allows the nurse to build rapport with the client, establish trust, and address any immediate concerns or needs before proceeding with a potentially distressing examination.

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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

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Correct Answer is B

Explanation

The nurse is completing an assessment of a client who was sexually assaulted. What assessment should the nurse conduct last?

Correct Answer is D

Explanation

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