A nurse is teaching a female middle adult client about health screenings. Which of the following instructions should the nurse include in the teaching?
"You should get a dental assessment every 6 months."
You should get a tuberculosis screening every 5 years."
You should get a breast examination every 3 years."
"You should get a glaucoma screening every 4 years."
The Correct Answer is A
A. "You should get a dental assessment every 6 months." This is correct. It is recommended that adults visit the dentist every 6 months for a check-up and cleaning to maintain oral health.
B. "You should get a tuberculosis screening every 5 years." Routine tuberculosis screening every 5 years is not typically recommended for middle adults unless they are at high risk for TB exposure.
C. "You should get a breast examination every 3 years." Clinical breast exams are recommended every 3 years for women in their 20s and 30s and annually for women aged 40 and older, not for middle-aged adults specifically.
D. "You should get a glaucoma screening every 4 years." Glaucoma screening frequency can vary, but it is often recommended that adults have their eyes checked every 2 to 4 years starting at age 40, with more frequent screenings as they age.
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Related Questions
Correct Answer is D
Explanation
A. Give the client more than one choice for resolving the conflict. While providing choices can be beneficial in some situations, it is not a direct action to ensure immediate environmental safety when a client is escalating aggressively.
B. Move toward the client using an aggressive stance. This approach is inappropriate and can escalate the situation further. A calm and non-threatening demeanor is essential in managing an aggressive client.
C. Choose two staff members to represent the staff and speak to the client. Having multiple staff members engage with an agitated client can sometimes help, but it’s crucial that any interaction is done calmly and without escalating the situation.
D. Stand between the client and the doorway of the room. This is the most appropriate action to ensure safety. Positioning yourself between the client and the exit can prevent the client from leaving the room and potentially harming themselves or others while ensuring a safe space to de-escalate.
Correct Answer is D
Explanation
A. Block the coworker's access to social media on hospital computers. Blocking access to social media on hospital computers may prevent future posts but does not address the immediate HIPAA violation or educate the coworker about proper conduct.
B. Refer the coworker to the hospital ethics committee. This may be a subsequent step if the violation is severe, but it does not provide an immediate response to the HIPAA breach.
C. Tell the coworker to delete the social media post. While this might remove the current violation, it does not follow the proper protocol for reporting HIPAA breaches and does not ensure accountability or prevent future incidents.
D. Report the coworker's post to the nurse manager or supervisor. This is the correct action. Reporting to the nurse manager or supervisor ensures that the incident is documented, investigated, and handled according to the hospital’s policies and HIPAA regulations.
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