The client is a male who states his wife complains that his snoring awakens her at night.
The spouse is present.
To obtain further data, the nurse asks the spouse:
How loud is his snoring?
How often are you awakened at night due to his loud snoring?
Is there silence after snoring which then is followed with a snort?
How long does he snore each night? . . .
The Correct Answer is C
Choice A rationale
Asking "How loud is his snoring?" is subjective and difficult for the spouse to quantify accurately. While loudness can be a factor, it doesn't directly address potential underlying medical conditions like obstructive sleep apnea.
Choice B rationale
Determining the frequency of awakenings due to snoring provides some information about the impact on the spouse's sleep but doesn't offer specific details about the nature of the snoring itself or potential pauses in breathing.
Choice C rationale
Asking "Is there silence after snoring which then is followed with a snort?" directly inquires about a pattern indicative of obstructive sleep apnea. Apneic episodes involve cessation of breathing (silence), followed by a gasp or snort as the airway reopens.
Choice D rationale
Knowing the duration of snoring each night provides a general overview but doesn't offer specific details about the characteristics of the snoring, such as pauses in breathing or gasping, which are crucial for identifying potential sleep disorders. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Dividing time evenly among patients reflects the professional value of justice, ensuring fair allocation of nursing resources based on patient needs rather than strict equality of time. Justice in nursing involves impartiality and equitable treatment.
Choice B rationale
Demonstrating care and concern for a patient's culture and beliefs aligns with the professional value of respect for autonomy and human dignity. It involves acknowledging and valuing the patient's individuality and their right to self-determination in healthcare decisions.
Choice C rationale
Encouraging the patient to make decisions about food selection promotes patient autonomy, allowing them to exercise their right to make choices about their care. This respects their preferences and empowers them in their healthcare journey.
Choice D rationale
Performing patient assessment and recording findings accurately exemplifies integrity, which involves honesty, truthfulness, and adherence to ethical principles. Accurate documentation provides an honest representation of the patient's condition and the care provided, crucial for safe and effective nursing practice.
Correct Answer is A
Explanation
Choice A rationale
Flexibility is essential for a nursing leader as they must adapt to changing situations, diverse perspectives, and unexpected challenges within a team and the healthcare environment. A flexible leader can consider different approaches, negotiate effectively, and maintain a positive and productive atmosphere amidst evolving circumstances.
Choice B rationale
Independence, while valuable for individual nursing practice, is not the most essential quality for a leader. A leader needs to foster collaboration, delegate effectively, and work interdependently with a team to achieve common goals. Over-independence can hinder teamwork and shared decision-making.
Choice C rationale
Physical stamina can be beneficial in the demanding profession of nursing, but it is not a primary essential quality for leadership. Leadership focuses more on cognitive, interpersonal, and strategic skills rather than physical endurance. A leader can be effective regardless of their physical capabilities.
Choice D rationale
Vulnerability, while promoting authenticity and connection in some contexts, is not an essential quality for a nursing leader in the same way as flexibility. While empathy and self-awareness are important, excessive vulnerability might undermine a leader's ability to provide stability, make difficult decisions, and inspire confidence within the team.
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