A nurse is vaccinating n child with the varicella vaccine. The nurse is implementing what level of preventative care?

Disease prevention

Tertiary

Primary

Secondary

Answer and Explanation

The Correct Answer is C

A. Disease prevention: This is a general term and not specific to levels of prevention.
B. Tertiary: Tertiary prevention involves managing and reducing complications of established diseases.
C. Primary: Primary prevention involves actions taken to prevent the onset of disease, such as vaccinations.
D. Secondary: Secondary prevention involves early detection and treatment of diseases.

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Correct Answer is C

Explanation

A. "I think you should talk with your family about your anger." This response shifts the focus to action without first exploring the client's feelings, which may not be therapeutic initially.
B. "You are probably very depressed, which is understandable with such a diagnosis." This response labels the client's emotions and may not be helpful in allowing the client to explore their feelings further.
C. "Tell me more about how you are feeling." This response uses therapeutic communication by encouraging the client to express feelings and concerns, providing emotional support and validation.
D. "Why haven't you shared your feelings with your family?" This response can sound accusatory and may not encourage open communication.

A. change a sterile dressing B. Ambulate a stable client to the bathroom C. take vital signs for the unit D. Provide morning care to a client E. Give the discharge instructions to a client going home

Correct Answer is ["B","C","D"]

Explanation

A. change a sterile dressing: Changing a sterile dressing is a complex task that requires the skills and knowledge of an RN or LPN, not a CNA.
B. Ambulate a stable client to the bathroom: Ambulating a stable client is within the scope of practice for a CNA and can be delegated.
C. take vital signs for the unit: Taking vital signs is a common task for CNAs and can be delegated.
D. Provide morning care to a client: Providing morning care (such as bathing, grooming) is within the scope of practice for a CNA and can be delegated.
E. Give the discharge instructions to a client going home: Giving discharge instructions requires the assessment and judgment of an RN and cannot be delegated to a CNA.

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A nurse is vaccinating n child with the varicella vaccine. The nurse is implementing what level of preventative care?

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Naxlex Comprehensive Predictor Exams

A client diagnosed with terminal cancer says to the nurse "I'm going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I'm the one who's dying." Which response by the nurse is therapeutic?

Correct Answer is C

Explanation

An RN has a critical client that needs constant monitoring. However, the RN also has other clients in need of care. Which tasks below could the RN delegate to the CNA to help continue the process of client care? (select all that apply) (3)

Correct Answer is ["B","C","D"]

Explanation

The nurse can safely assign which task to an unlicensed assistive personnel (UAP) for a patient who is stable after a myocardial infarction?

A nurse is caring for a group of clients on a medical surgical unit. For which of the following care needs should the nurse initiate a referral for a speech therapist?

During a health assessment, the nurse is collecting subjective data from the client. Which of the following is an example of subjective data?

A nurse is completing discharge instructions. Which of the following barriers to learning should the nurse interpret as a need to postpone the teaching?

A nurse on a medical surgical unit has received report on four clients. There is an LVN, RN, and UAP working. Which of the following clients would best to assign to the RN?

A nurse delegates to an assistive personnel. During the delegation the nurse observes the UAP using the large cuff on a client who is overweight. The nurse is demonstrating which of the following rights of delegation?

The nurse is providing morning care to a client with right arm hemiparesis. Which nursing action demonstrates use of the Self Care Model when planning care?