A nurse is speaking with several clients at a health fair. Which of the following statements should the nurse assess further?
"I have to change my hearing aid battery weekly."
"I have to turn my head completely to see things that are beside me."
"I prepare my medications for the week on Sundays."
"I prepare all of my own meals."
The Correct Answer is B
The correct answer is Choice B because, "I have to turn my head completely to see things that are beside me." This statement suggests the possibility of impaired peripheral vision, which could be a safety concern. The nurse should assess further and possibly refer the client for further evaluation.
Choice A is wrong because, "I have to change my hearing aid battery weekly," is not the correct answer as it is a routine self-care task for individuals with hearing aids. Choice C is wrong because, "I prepare my medications for the week on Sundays," is not the correct answer as it is a routine self-care task for individuals who take multiple medications. Choice D is wrong because, "I prepare all of my own meals," is not the correct answer as it is a routine selfcare task for many individuals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is Choice D because "Explore possible solutions with the partner." When a hospice nurse is concerned that the partner of a client is experiencing caregiver burden, the first step is to explore possible solutions with the partner. This involves assessing the partner's needs, concerns, and limitations, and working collaboratively to develop a plan of care that meets the needs of both the client and the partner. This may involve arranging for additional support, such as respite care or home health services, or modifying the care plan to make it more manageable for the partner.
Choice A is wrong because Suggesting assistive personnel visits daily to provide client care (Choice A is wrong because) may provide additional support, but it does not address the partner's caregiver burden.
Choice B is wrong because Teaching the partner about getting enough rest (Choice B is wrong because) may be helpful, but it does not address the underlying caregiver burden and may be perceived as dismissive of the partner's concerns.
Choice C is wrong because Encouraging the partner to invite family members to assist with client care (Choice C is wrong because) may provide additional support, but it assumes that the partner has family members who are available and willing to assist and does not address the underlying caregiver burden.
Correct Answer is D
Explanation
The correct answer is Choice D because, "State health departments report selected STIs to the National Institutes of Health." This is the correct answer because state health departments are responsible for reporting selected STIs to the National Institutes of Health, which is an important regulation regarding STIs.
Choice A is wrong because, "Clients who have STIs are legally required to provide a list of sexual partners," is
not the correct answer because while clients who have STIs are strongly encouraged to provide a list of sexual partners for partner notification and treatment purposes, there is no legal requirement for them to do so.
Choice B is wrong because, "Congress mandates the requirements for STI reporting," is not the correct answer because STI reporting requirements are set by public health agencies, not by Congress.
Choice C is wrong because, "Nurses should withhold the name of the client who has an STI during partner notification," is not the correct answer because while nurses are required to maintain confidentiality of their clients, they are also obligated to report certain communicable diseases, including STIs, to public health authorities, who may need to conduct partner notification and treatment efforts.
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