A nurse manager is participating in the care of a client.

Exhibits

Which of the following client statements indicate an understanding of the teaching?
Select all that apply.

"If I request a do-not-resuscitate (DNR) prescription, CPR will be withheld from my care."

"Once I choose a health care proxy, they will start making my health care decisions."

"I am required to complete these documents during my hospital stay."

"The hospital is legally required to provide me information on these documents."

"When completed, a copy of these documents will be kept in my medical record."

"These documents provide instructions about my care preferences."

Answer and Explanation

Correct Answer : A,D,E,F

A. "If I request a do-not-resuscitate (DNR) prescription, CPR will be withheld from my care.": Understanding that a DNR order means no resuscitation efforts, such as CPR, will be performed in the event of cardiac or respiratory arrest is crucial. This reflects the client’s autonomy in making end-of-life decisions and ensures their preferences are respected in critical situations.

B. "Once I choose a health care proxy, they will start making my health care decisions.": While selecting a health care proxy is an important step, they can only make decisions when the client is unable to do so. This means that the proxy’s authority to act is contingent upon the client’s capacity to communicate their wishes.

C. "I am required to complete these documents during my hospital stay.": Clients are encouraged to create advance directives, but there is no legal requirement to complete these documents while in the hospital. Clients have the right to determine the timing and circumstances under which they complete advance directives.

D. "The hospital is legally required to provide me information on these documents.": Hospitals have an obligation to inform clients about advance directives, ensuring they are aware of their rights and the options available for planning their medical care. This legal requirement promotes informed decision-making among clients.

E. "When completed, a copy of these documents will be kept in my medical record.": Storing advance directives in the medical record is essential for ensuring that healthcare providers have access to the client’s preferences regarding treatment. This practice helps to facilitate communication and adherence to the client’s wishes during their care.

F. "These documents provide instructions about my care preferences.": Advance directives outline a client’s preferences for medical treatment and interventions, ensuring that their values and wishes guide their care if they become unable to communicate those preferences. This helps healthcare providers understand and respect the client’s desires regarding their treatment.

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Correct Answer is B

Explanation

A. Design interventions for a student's individual education plan (IEP): This action focuses on addressing the specific needs of an individual student, which is more aligned with secondary prevention by providing tailored support for those who may already be at risk.

B. Teach students about healthy food choices: This intervention addresses primary prevention by promoting healthy behaviors and lifestyle choices that can help prevent health issues before they occur. Educating students about nutrition empowers them to make informed decisions that support their overall health.

C. Perform first aid for minor injuries: Providing first aid is a reactive measure that addresses immediate health issues rather than preventing them from occurring in the first place. This intervention aligns more closely with secondary prevention, which focuses on managing health conditions after they arise.

D. Perform scoliosis screenings for students: Screening for scoliosis is a method of identifying potential health issues early, which is characteristic of secondary prevention. It aims to detect and address problems early rather than preventing them altogether.

A. "The client has a new prescription for incentive spirometry." B. "The client's partner plans to return later today." C. "The client has no living family members." D. "I initiated a consultation by a nutritionist."

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

Explanation

A. Speech-language pathologist: A speech-language pathologist specializes in assessing and treating swallowing disorders (dysphagia). They conduct swallowing evaluations and recommend appropriate strategies, exercises, and diet modifications to ensure safe swallowing and reduce the risk of aspiration.

B. Occupational therapist: An occupational therapist helps clients regain the ability to perform daily activities, including self-feeding. They provide adaptive strategies, recommend assistive devices, and work on improving fine motor skills to enhance independence during meals.

C. Dietitian: A dietitian assesses the client’s nutritional needs and recommends appropriate diet modifications, such as texture-altered foods or thickened liquids, to ensure adequate nutrition while reducing the risk of choking or aspiration. They collaborate with other team members to create a safe and balanced meal plan.

D. Psychologist: While a psychologist can help address emotional and psychological challenges following a stroke, they are not directly involved in managing swallowing difficulties. Their role focuses more on mental health, coping strategies, and emotional adjustment rather than dysphagia management.

E. Pharmacy technician: A pharmacy technician primarily assists with medication dispensing and does not have a role in evaluating or managing swallowing difficulties. Medication concerns related to swallowing would be addressed by a pharmacist rather than a pharmacy technician.

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A nurse manager is participating in the care of a client. Exhibits Which of the following client statements indicate an understanding of the teaching? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A school nurse is providing care for students in an elementary education facility. Which of the following interventions by the nurse addresses the primary level of prevention?

Correct Answer is B

Explanation

A newly licensed nurse is giving a change-of-shift report using Introductions, Situation, Background, Assessment, Recommendation (ISBAR) to an oncoming nurse. Which of the following statements by the newly licensed nurse should be included in the "Background" portion of the report?

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

Explanation

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A nurse manager is participating in the care of a client.

Exhibits

Which of the following client statements indicate an understanding of the teaching?
Select all that apply.