A nurse manager is teaching a group of unit nurses about health care strategies to improve outcomes for clients. Which of the following examples should the nurse manager include to demonstrate restorative care?

Recommending exercise classes for clients who are on a weight loss program

Using x-rays to detect acute respiratory conditions for clients

Initiating outpatient physical therapy for clients who had joint surgery

Screening blood pressure and cholesterol for clients at a health fair

Answer and Explanation

The Correct Answer is C

Rationale:

A. Recommending exercise classes for clients who are on a weight loss program: This represents a preventive health strategy, aiming to reduce the risk of developing future health issues such as cardiovascular disease or diabetes. It promotes wellness but does not restore function after illness or injury.

B. Using x-rays to detect acute respiratory conditions for clients: This is a diagnostic or acute care strategy used to identify and treat an existing condition. It addresses current illness rather than focusing on long-term recovery or regaining function after an intervention.

C. Initiating outpatient physical therapy for clients who had joint surgery: Restorative care focuses on helping clients regain independence and return to their prior level of functioning following an illness, injury, or surgery. Outpatient physical therapy after joint surgery is a classic example of restorative care.

D. Screening blood pressure and cholesterol for clients at a health fair: This falls under preventive care. It helps detect potential health problems early but does not contribute directly to the restoration of function in clients recovering from a health condition.

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Correct Answer is C

Explanation

Rationale:

A. An AP often requests additional assistance with client transfers: This reflects safe practice and an understanding of body mechanics and client safety. Requesting help reduces the risk of injury to both staff and clients and should be encouraged.

B. A nurse requests a change in the client care shift assignment: Requesting a shift change may stem from personal or clinical reasons and is not inherently concerning. It does not indicate unsafe or unethical behavior and is part of normal workplace dynamics.

C. A nurse requests to perform the narcotic count on each assigned shift: Consistently requesting to perform narcotic counts without rotation may raise concerns about potential drug diversion. This behavior could be a red flag and warrants further investigation for possible nursing malpractice.

D. An AP often requests that a nurse recheck clients' blood pressures: This demonstrates appropriate delegation and accountability. APs are expected to consult nurses when unsure about clinical findings, ensuring accuracy and client safety.

A. Red macular rash on chest B. Myalgia C. Reports of neck stiffness D. Unable to move eyes laterally

Correct Answer is D

Explanation

Rationale:

A. Red macular rash on chest: A macular rash may be seen in meningococcal meningitis due to septicemia but is not indicative of hydrocephalus. It reflects systemic infection or vascular compromise, not increased intracranial pressure or ventricular dilation.

B. Myalgia: Muscle aches are common in many infections, including meningitis, due to the body’s inflammatory response. However, myalgia is not a specific sign of hydrocephalus and does not reflect increased cerebrospinal fluid accumulation.

C. Reports of neck stiffness: Neck stiffness is a classic sign of meningeal irritation in meningitis, not hydrocephalus. It results from inflammation of the meninges, which is separate from the ventricular changes seen in hydrocephalus.

D. Unable to move eyes laterally: Lateral gaze palsy can indicate cranial nerve VI (abducens) involvement, which is vulnerable to increased intracranial pressure caused by hydrocephalus. This limitation in eye movement signals brainstem or nerve compression due to excess cerebrospinal fluid.

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A nurse manager is teaching a group of unit nurses about health care strategies to improve outcomes for clients. Which of the following examples should the nurse manager include to demonstrate restorative care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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