A parish nurse is counseling a family following a client's recent diagnosis of heart disease. Which of the following actions should the nurse take first?
Ask family members about the impact of the disease on relationships within the family.
Offer to accompany the client and the client's partner during health care provider visits.
Assist the client and the client's partner with finding an affordable exercise program.
Discuss the benefits of eating a well-balanced diet with the client's family.
The Correct Answer is A
Explanation: The first action the parish nurse should take is to ask family members about the impact of the disease on relationships within the family. A diagnosis of heart disease can affect the client and the client's family emotionally, physically, and financially. By assessing the family's understanding of the disease, the nurse can identify their needs, concerns, and coping strategies. The nurse can also provide emotional support, education, and resources to help the family manage the disease and improve their quality of life. Offering to accompany the client and the client's partner during health care provider visits, assisting the client and the client's partner with finding an affordable exercise program, and discussing the benefits of eating a well-balanced diet with the client's family are appropriate actions that the nurse can take. However, these actions are not the priority until the nurse has assessed the family's understanding and need
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A.Prenatal care is considered a secondary prevention activity because it involves early detection and intervention to prevent complications during pregnancy. Secondary prevention focuses on identifying and treating existing conditions in their early stages to prevent progression.
B.Smoking cessation meets the definition of primary prevention by reducing the risk of morbidity and premature mortality in asymptomatic people.
C.Referring a client who is already recovering from a substance use disorder is an example of tertiary prevention. Tertiary prevention focuses on helping individuals manage and rehabilitate after an illness or injury to prevent further deterioration and to improve their quality of life.
D.Advocating for laws to prevent texting while driving is a form of primary prevention, as it aims to prevent injuries and accidents before they occur by reducing a risk factor (distracted driving).
Correct Answer is A
Explanation
The first step the nurse should take is to perform a needs assessment. This involves determining the specific needs of the older adults who will be served by the mobile meal program. The nurse should identify the target population and assess their nutritional needs, dietary restrictions, and food preferences. The nurse should also determine the availability of transportation for the delivery of meals and the potential need for volunteers. Once the needs assessment is complete, the nurse can begin to develop a plan for the program.
Inquiring about the availability of volunteers (choice B) and determining potential funding sources for the program (choice D) are important steps, but they should come after performing a needs assessment. Identifying alternative solutions (choice C) may be necessary at some point, but it is not the first step.
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