A student nurse is preparing a client room for the treatment of an ovarian cyst. What would be least important for the student nurse to do immediately before performing the client's physical exam with the primary nurse?

(Select All that Apply.)

Explain the purpose of the interview to the client.

Establish the client's reliability as a historian.

Collect the necessary equipment essential to the exam.

Construct the client's family genogram.

Answer and Explanation

Correct Answer : B,D

B. Assessing the client's reliability as a historian involves gathering information about their medical history, symptoms, and health behaviors. While this is an important aspect of client assessment, it may not be immediately necessary right before performing the physical exam.

D. Constructing the client's family genogram is an important aspect of assessing their family history, which may be relevant to their current health condition. However, this task is not immediately necessary right before performing the physical exam and can be completed at a later time during the assessment process.

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Correct Answer is A

Explanation

This statement encourages the client to express their own perspectives, beliefs, and preferences regarding their health and well-being. It fosters client autonomy and acknowledges the importance of understanding the client's cultural context and values when developing a treatment plan. This statement aligns with the principles of the CFI tool.
C. This statement imposes the nurse's perspective on the client and may not be culturally sensitive.
D. This statement imposes the nurse's beliefs and assumptions on the client and may not be culturally sensitive.
B. This statement may not be appropriate without further exploration of the client's experiences, beliefs, and cultural context. It imposes Western diagnostic categories on the client without considering the cultural validity of these categories or the client's own explanatory model of illness.

A. "Holistic nursing care is not any different than any other nursing care. It is just a new term that is used since we started COVID-19 protocols." B. "Holistic nursing care means that you will have all members of the nursing staff working with you for each nursing action." C. "Holistic nursing care ensures all clients receive the same treatments." D. "Holistic nursing care involves viewing the client as a whole."

Correct Answer is D

Explanation

Holistic nursing care is centered around the concept of viewing the client as a whole person, rather than just focusing on their physical symptoms or specific health issues. It considers all aspects of the client's being, including their physical, emotional, social, spiritual, and cultural dimensions.
A. Holistic nursing goes beyond just addressing physical symptoms or illnesses and focuses on promoting healing and wellness in all aspects of the client's life.
B. While collaboration among members of the nursing staff may be part of holistic nursing care, it does not fully capture the essence of what holistic nursing care entails.
C. Holistic nursing care does not necessarily mean that all clients receive the same treatments. Instead, it emphasizes individualized care that considers each client's unique circumstances, preferences, and goals.

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A student nurse is preparing a client room for the treatment of an ovarian cyst. What would be least important for the student nurse to do immediately before performing the client's physical exam with the primary nurse? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is using the Cultural Formulation Interview (CFI) tool while collecting a health history from a client who is from a culture different than the nurse. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

A nurse is providing care to a client who asks, "What is the meaning of holistic nursing care?" The nurse should give which of the following responses?

Correct Answer is D

Explanation

A community health nurse is reflecting on unconscious feelings they may have toward some of the clients they care for. The nurse should identify this as which of the following concepts of cultural competence?

A nurse on an inpatient mental health unit is caring for a client who has major depressive disorder and malnutrition. Which of the following actions should the nurse take to improve the client's nutritional status?

A nurse is assessing a toddler at a well-child visit. At what point in the physical examination should the nurse examine the child's tympanic membrane?

A nurse is assessing a client who reports frequent vomiting and diarrhea for the past 3 days. Which of the following findings should the nurse expect? (Select all that apply.)

A student nurse is preparing a client room for the treatment of an ovarian cyst. What would be least important for the student nurse to do immediately before performing the client's physical exam with the primary nurse? (Select All that Apply.)

A nurse is assessing a client who reports feeling stress and anxiety. The client appears restless and is pacing in the room. The client is alert and oriented to person, place, and time. Which of the following findings is subjective?

A nurse is admitting a client who speaks a different language than the nurse. Which of the following actions should the nurse take?

A student nurse is preparing a client room for the treatment of an ovarian cyst. What would be least important for the student nurse to do immediately before performing the client's physical exam with the primary nurse?

(Select All that Apply.)