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."

Answer and Explanation

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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Correct Answer is B

Explanation

A. "This document will ensure that my health care wishes remain confidential." Advance directives are meant to be shared with healthcare providers and family members, not kept confidential.
B. "This document will tell others what care I want when I cannot speak for myself." This statement correctly reflects the purpose of advance health care directives.
C. "My attorney has to prepare this document for me." While an attorney can assist, the document can be prepared without one.
D. "My family can change the document if I become mentally incapacitated." The document cannot be changed by family members once the client is incapacitated.

A. Give the client more than one choice for resolving the conflict. B. Move toward the client using an aggressive stance. C. Choose two staff members to represent the staff and speak to the client. D. Stand between the client and the doorway of the room.

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.

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A nurse is teaching a female middle adult client about health screenings. Which of the following instructions should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about advance health care directives. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse in an acute care mental health facility is sitting with a group of clients in a meeting room. A client suddenly jumps up and begins yelling angrily. Which of the following actions should the nurse take to ensure environmental safety?

Correct Answer is D

Explanation

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