The client is struggling with the decision to donate organs after death. The nurse assists the client to list alternatives, examine the "pros" and "cons" and elicits the client's feelings about the decision. The nurse is assisting this client with:

cultural assessment.

selecting treatment.

values clarification.

defining religious beliefs.

Answer and Explanation

The Correct Answer is C

A. Cultural assessment: A cultural assessment involves gathering information about the client's cultural background, beliefs, practices, and preferences to provide culturally sensitive care. While the decision to donate organs may be influenced by cultural factors, assisting the client with alternatives, examining pros and cons, and eliciting feelings about the decision are not specifically related to conducting a cultural assessment.

B. Selecting treatment: Assisting the client with selecting treatment involves discussing various treatment options and helping the client make informed decisions about their healthcare. While organ donation may be considered a treatment option in some contexts, the scenario described focuses more on helping the client clarify their values and make a decision about organ donation rather than selecting treatment for a specific health condition.

C. Values clarification: This is the correct option. Values clarification involves helping individuals explore and understand their personal values, beliefs, and preferences to make decisions that align with their values. In this scenario, the nurse is assisting the client with exploring the decision to donate organs by facilitating a process of examining alternatives, considering the pros and cons, and eliciting the client's feelings about organ donation. This approach helps the client clarify their values related to organ donation and make an informed decision based on their personal beliefs and preferences.

D. Defining religious beliefs: While religious beliefs may influence an individual's decision about organ donation, the nurse's role in this scenario is broader and focuses on helping the client clarify their values and make a decision about organ donation based on their personal beliefs and preferences. The nurse may address religious beliefs as part of the values clarification process but is primarily assisting the client in exploring their overall values and feelings about organ donation.

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Correct Answer is C

Explanation

A. That both partners are in good health: While good health can contribute to a satisfying sexual relationship, it is not the sole determinant. Health status alone does not guarantee a mutually-satisfying sexual relationship.

B. Being of the same sociocultural background: While sharing a sociocultural background may facilitate understanding and communication in some cases, it is not a universal requirement for a healthy sexual relationship. Partners from diverse backgrounds can have fulfilling relationships with effective communication and mutual respect.

C. Open communication: Open communication is essential for building trust, understanding preferences, expressing needs and desires, and resolving conflicts in a sexual relationship. It allows partners to discuss their feelings, concerns, and expectations openly, leading to greater intimacy and satisfaction.

D. Awareness of the partner's needs: Being aware of the partner's needs is important, but without open communication, it can be challenging to understand those needs fully. Open communication facilitates the expression and acknowledgment of needs, making it easier for partners to address them effectively.

A. Temperature B. BP and pulse in lying, then sitting and standing positions C. Pulse oximetry reading on room air D. Respiratory rate and depth

Correct Answer is B

Explanation

A. Temperature: While temperature assessment is important in evaluating a client's condition, it primarily indicates the presence of fever, which the client already reports. However, it does not provide direct information about the client's fluid status.

B. BP and pulse in lying, then sitting and standing positions: Assessing blood pressure (BP) and pulse in different positions (lying, sitting, and standing) helps evaluate orthostatic changes, which can indicate volume depletion or dehydration. A drop in BP and an increase in pulse rate upon standing suggest volume depletion and orthostatic hypotension, which are indicators of fluid loss.

C. Pulse oximetry reading on room air: Pulse oximetry measures the oxygen saturation of arterial blood and is primarily used to assess respiratory status and oxygenation. While it provides valuable information about oxygen levels, it does not directly assess fluid status.

D. Respiratory rate and depth: Respiratory rate and depth can be affected by various factors, including pain, fever, and respiratory conditions. While changes in respiratory rate and depth can indicate distress or respiratory compromise, they are not specific indicators of fluid status and may not directly reflect hydration status.

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The client is struggling with the decision to donate organs after death. The nurse assists the client to list alternatives, examine the "pros" and "cons" and elicits the client's feelings about the decision. The nurse is assisting this client with:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When working with clients of any age, the nurse keeps in mind that the key to mutually-satisfying, healthy sexual relationships between partners is most often:

Correct Answer is C

Explanation

The nurse is assessing a 66-year-old client who reports having a fever and feeling weak and dizzy with nausea and vomiting for three days. The nurse observes a dry tongue and oral mucosa, and concentrated urine. To best assess the client's fluid status, which parameter(s) should the nurse check?

Correct Answer is B

Explanation

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