A nurse is teaching a group of nurses about the CDC goals for clients who are at risk for health care disparity because of progressive chronic hearing loss. Which of the following interventions should the nurse recommend to the group to help improve this health care disparity?

Tell clients that their coworkers should learn and practice American Sign Language.

Educate clients about using telecommunication devices for telephone calls.

Refer clients to an otolaryngologist for treatment.

Recommend that clients contact a local pharmacy for financial support for obtaining hearing aids.

Answer and Explanation

The Correct Answer is B

Rationale:

A. Tell clients that their coworkers should learn and practice American Sign Language: While helpful in some cases, it places the responsibility on others and does not directly empower clients with tools they can use in healthcare settings to reduce disparity.

B. Educate clients about using telecommunication devices for telephone calls: This aligns with CDC goals to reduce communication barriers and promote accessibility. These devices enable clients with hearing loss to better access healthcare services independently.

C. Refer clients to an otolaryngologist for treatment: Referral is appropriate for medical issues, but does not specifically address the health care disparity or communication challenges in accessing care.

D. Recommend that clients contact a local pharmacy for financial support for obtaining hearing aids: While affordability is a barrier, pharmacies are not primary sources of financial aid for hearing aids, and this intervention is less direct in addressing communication-related disparities.

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Correct Answer is D

Explanation

Rationale:

A. Fidelity: Fidelity refers to faithfulness in keeping promises and maintaining trust in the nurse-client relationship. While important, it does not directly relate to preventing physical harm, as in this scenario.

B. Autonomy: Autonomy involves respecting the client’s right to make independent decisions about their care. Removing a fall hazard is a safety intervention, not a matter of supporting self-determination.

C. Veracity: Veracity is the obligation to tell the truth and provide accurate information. It is not applicable to a physical safety measure like removing a hazard.

D. Nonmaleficence: Nonmaleficence is the duty to do no harm. By removing a fall hazard, the nurse is actively preventing potential injury, thereby upholding this ethical principle through harm prevention.

A. Assess a client who was transferred from PACU. B. Teach a client how to use an incentive spirometer prior to surgery. C. Insert a urinary catheter for a client. D. Update a client's plan of care.

Correct Answer is C

Explanation

Rationale:

A. Assess a client who was transferred from PACU: Initial assessments of post-anesthesia clients require the expertise of an RN due to the potential for rapid clinical changes. This task falls outside the LPN’s scope of practice.

B. Teach a client how to use an incentive spirometer prior to surgery: Client education related to preoperative care is a nursing responsibility requiring critical thinking and evaluation skills, which are typically within the RN’s role, not the LPN's.

C. Insert a urinary catheter for a client: Inserting a urinary catheter is a common, routine procedure that is within the LPN’s scope of practice. It does not require advanced assessment or critical decision-making.

D. Update a client's plan of care: Developing or updating a plan of care involves clinical judgment and ongoing evaluation, which are responsibilities of the RN, not the LPN. LPNs may contribute data but do not revise plans independently.

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A nurse is teaching a group of nurses about the CDC goals for clients who are at risk for health care disparity because of progressive chronic hearing loss. Which of the following interventions should the nurse recommend to the group to help improve this health care disparity?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse removes a fall hazard that is in an older adult client's path. The nurse should identify that this action is an example of which of the following ethical principles?

Correct Answer is D

Explanation

A charge nurse is preparing assignments for a licensed practical nurse (LPN). Which of the following tasks should the nurse assign to the LPN?

Correct Answer is C

Explanation

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