A nurse is providing care to an older adult who is experiencing stress incontinence. The nurse explains effective methods of controlling this condition to the client. Which role is the nurse assuming?

Educator

Caregiver

Advocate

Innovator

Answer and Explanation

The Correct Answer is A

A. Educator:

In this role, the nurse imparts knowledge and teaches the client about their health condition, including its causes, symptoms, management strategies, and preventive measures. The nurse provides information in a clear and understandable manner, tailoring the education to the client's individual needs and preferences. In the context of stress incontinence, the nurse may teach the client about pelvic floor exercises, bladder training, lifestyle modifications, and other techniques to manage the condition effectively.

B. Caregiver:

In the role of a caregiver, the nurse provides direct physical care and assistance to the client, such as helping with activities of daily living, administering medications, and providing emotional support. While caring for a client with stress incontinence may involve assisting with hygiene and addressing related concerns, such as skin care, the primary focus of the nurse in this scenario is on educating the client about managing the condition rather than providing hands-on care.

C. Advocate:

As an advocate, the nurse acts on behalf of the client to ensure their rights, preferences, and needs are respected and addressed within the healthcare system. This may involve advocating for appropriate treatment options, facilitating communication between the client and healthcare providers, and helping the client make informed decisions about their care. While advocacy is an important aspect of nursing practice, it may not be the primary role in this scenario, where the focus is on educating the client about managing stress incontinence.

D. Innovator:

The role of an innovator involves implementing new ideas, approaches, or technologies to improve patient care and outcomes. While nurses may engage in innovative practices to address various healthcare challenges, such as developing new treatment protocols or implementing evidence-based interventions, the act of educating a client about managing stress incontinence does not necessarily involve innovation in this context. Instead, it primarily involves applying established knowledge and best practices to meet the client's needs.

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Correct Answer is A

Explanation

Choice A rationale:
Weight gain is the most objective and reliable indicator of improved nutritional status in clients with wasting syndrome. It directly reflects an increase in lean body mass, which is essential for restoring health and function.
A weight gain of 2 lb (1 kg) per month is considered a safe and achievable goal for clients with HIV-III and wasting syndrome. This rate of weight gain promotes gradual replenishment of nutrient stores without overwhelming the body's systems.
While other assessment findings, such as increased food intake or decreased oral discomfort, may be positive signs, they do not necessarily guarantee that nutritional goals have been met. It's possible for a client to consume more calories without experiencing weight gain due to factors such as malabsorption or increased metabolic demands. Similarly, decreased oral discomfort may improve appetite but not ensure adequate nutrient intake.
Choice B rationale:
While eating 90% of meals and snacks is a positive sign, it does not guarantee adequate nutrient intake or weight gain. The client may still be consuming insufficient calories or experiencing malabsorption.
The focus of nutritional intervention for wasting syndrome is to increase lean body mass, which is best reflected by weight gain. Eating patterns alone may not accurately capture this progress.
Choice C rationale:
Choosing high-protein foods is important for supporting tissue repair and immune function, but it does not guarantee adequate overall caloric intake or weight gain. The client may still be consuming insufficient calories or experiencing malabsorption.
Weight gain is a more comprehensive indicator of improved nutritional status, as it reflects both protein intake and overall caloric balance.
Choice D rationale:
Decreased oral discomfort can improve appetite and facilitate food intake, but it does not guarantee adequate nutrient intake or weight gain. The client may still be consuming insufficient calories or experiencing malabsorption.
Weight gain is a more direct and reliable indicator of improved nutritional status, as it reflects the actual utilization of nutrients for tissue repair and growth.

A. Ensure that medical treatments comply with cultural expectations B. Increase compliance among minority clients C. Provide individualized and culturally sensitive care D. Ensure that clients get the respect customary in their own ethnic group

Correct Answer is C

Explanation

A. Ensure that medical treatments comply with cultural expectations.

- This choice emphasizes the importance of aligning medical treatments with the cultural expectations of patients. Culturally competent healthcare providers recognize that cultural beliefs, values, and preferences can influence individuals' perceptions of illness and treatment. By understanding a patient's cultural background, healthcare providers can adapt treatment plans to be more acceptable and effective within the cultural context. This approach fosters trust and cooperation between patients and healthcare providers, ultimately improving health outcomes.

B. Increase compliance among minority clients.

- This choice suggests that understanding culture can lead to increased compliance with medical recommendations among minority clients. Culturally competent care involves acknowledging and respecting cultural differences in healthcare beliefs and practices. By incorporating cultural considerations into healthcare delivery, providers can enhance patient trust and engagement, leading to improved adherence to treatment plans and better health outcomes, particularly among minority populations who may face unique cultural barriers to accessing and utilizing healthcare services.

C. Provide individualized and culturally sensitive care.

- This choice emphasizes the broader goal of providing individualized and culturally sensitive care to all patients, regardless of their cultural background. Culturally competent healthcare involves recognizing and respecting the diversity of patients' cultural beliefs, values, and practices, and tailoring care to meet their unique needs and preferences. By delivering care that is responsive to cultural differences, healthcare providers can ensure that patients feel valued, understood, and respected, leading to improved patient satisfaction and better health outcomes.

D. Ensure that clients get the respect customary in their own ethnic group.

- This choice highlights the importance of providing respect to patients in a manner that aligns with their own cultural norms and values. Culturally competent care involves recognizing and honoring patients' cultural identities and customs, including expectations regarding respect and dignity. Healthcare providers who understand the cultural context of their patients can ensure that interactions are conducted in a manner that is respectful and appropriate, fostering trust and rapport between providers and patients and promoting positive healthcare experiences.

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A nurse is providing care to an older adult who is experiencing stress incontinence. The nurse explains effective methods of controlling this condition to the client. Which role is the nurse assuming?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with HIV-III and wasting syndrome has inadequate nutrition. What assessment finding by the nurse best indicates that goals have been met for this client problem?

Correct Answer is A

Explanation

Correct Answer is C

Explanation

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