A nurse is providing a client who has COPD with education regarding adapting their behavior. Which of the following describes an anticipated outcome following education of the client?
Repeating the same question over and over
Awareness of COPD manifestations
Anxiety and restlessness
Motivation and engagement of the client
The Correct Answer is D
Choice A Reason:
Repeating the same question over and over is incorrect. Repeating the same question over and over is not a desired outcome of client education. It may indicate confusion or cognitive impairment rather than effective learning and understanding of COPD management.
Choice B Reason:
Awareness of COPD manifestations is incorrect. This is a desirable outcome of client education. Increasing the client's awareness of COPD manifestations, such as dyspnea, coughing, and sputum production, can help them recognize exacerbations early and take appropriate action to manage their condition.
Choice C Reason:
Anxiety and restlessness is incorrect. Anxiety and restlessness are not desired outcomes of client education. While anxiety is common in individuals with COPD due to the chronic nature of the condition and its impact on daily activities, education should aim to reduce anxiety by providing information and strategies for coping with COPD-related symptoms and challenges.
Choice D Reason:
Motivation and engagement of the client is correct. This is a desirable outcome of client education. Motivating and engaging the client in their own care empowers them to take an active role in managing their COPD and improving their quality of life. Education should provide information, support, and encouragement to help the client feel motivated and engaged in self-management strategies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
Choice A Reason:
Decreased visual acuity is correct. Yes, decreased visual acuity, including issues such as poor depth perception, reduced peripheral vision, and difficulty with contrast sensitivity, can contribute to falls and head injuries in older adults.
Choice B Reason:
Motor vehicle crashes is incorrect. While motor vehicle crashes can cause head injuries in individuals of all ages, they are less common among older adults compared to younger age groups.
Choice C Reason:
Polypharmacy is correct. Yes, polypharmacy, which refers to the use of multiple medications concurrently, is a common risk factor for falls and head injuries in older adults. Certain medications, especially those with sedative or psychotropic effects, can increase the risk of falls and accidents.
Choice D Reason:
Weakness is correct. Yes, weakness, frailty, and decreased muscle strength are common age-related changes that can increase the risk of falls and subsequent head injuries in older adults.
Choice E Reason:
Chronic hypertension, particularly when poorly controlled, can contribute to an increased risk of falls in older adults through various mechanisms:Hypertension medications or the condition itself can lead to orthostatic hypotension. This can cause dizziness or lightheadedness, increasing the risk of falls.Chronic hypertension is a major risk factor for cerebrovascular disease, including strokes. These events can lead to neurological deficits such as weakness, numbness, or impaired balance, predisposing individuals to falls.
Choice F Reason:
Previous military experience is incorrect. While previous military experience may contribute to certain health conditions or injuries in older adults, it is not a common reason for head injuries specifically related to falls or accidents in this population.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A Reason:
Chronic cough is correct. Persistent cough is a common symptom of COPD, often occurring due to irritation and inflammation in the airways.
Choice B Reason:
Sputum production is correct. COPD patients frequently experience increased mucus production, leading to coughing up phlegm or sputum, especially in the morning.
Choice C Reason:
Dyspnea is correct. Shortness of breath or dyspnea is a hallmark symptom of COPD, particularly during physical activity or exertion, and it tends to worsen as the disease progresses.
Choice D Reason:
Wheezing occurs due to narrowed airways and increased airway resistance. It is more noticeable during expiration but can also be present during inspiration in severe cases.
Choice E Reason:
Chest tightness is incorrect. While chest tightness can occur in COPD, it is typically more associated with asthma. However, some individuals with COPD may experience chest tightness, especially during exacerbations or when airflow is significantly limited.
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