The nurse is caring for a client who expresses concerns about sexual orientation. When using the PLISSIT model, which step will the nurse take first?

Provide information about sexual orientation and comment on alternatives.

Communicate an open, accepting attitude.

Provide a referral for the client to see a sex therapist.

Teach the client about normal sexual health.

Answer and Explanation

The Correct Answer is B

A. Provide information about sexual orientation and comment on alternatives: This step involves providing information about sexual orientation and discussing alternatives. However, it may not be the first step in the PLISSIT model. First, the nurse should establish a supportive and nonjudgmental environment, which is addressed in option B.

B. Communicate an open, accepting attitude: This is the correct response. In the PLISSIT model, the first step is to establish an open, accepting attitude. This involves creating a safe space for the client to express their concerns without fear of judgment or discrimination. By demonstrating acceptance and empathy, the nurse encourages the client to feel comfortable discussing sensitive topics related to sexual orientation.

C. Provide a referral for the client to see a sex therapist: Referral to a sex therapist may be appropriate for clients who require specialized intervention beyond the nurse's scope of practice. However, in the PLISSIT model, referral to a specialist typically occurs after the initial steps of establishing rapport and assessing the client's needs.

D. Teach the client about normal sexual health: While education about normal sexual health is an important aspect of sexual health nursing, it may not be the first step in the PLISSIT model. Initially, the focus is on creating a supportive environment and building trust with the client.

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Correct Answer is ["A","B","C","E"]

Explanation

A. Spinach: Spinach is an excellent source of potassium. It is a leafy green vegetable that provides a significant amount of potassium, making it a suitable choice for clients who are at risk of potassium loss due to diuretic therapy.

B. Potatoes: Potatoes, particularly when eaten with the skin, are rich in potassium. They are a starchy vegetable that can help replenish potassium levels in individuals experiencing potassium loss from diuretic use.

C. Tomatoes: Tomatoes are another good source of potassium. They are versatile and can be incorporated into various dishes, providing both flavor and nutrients, including potassium, which can help offset potassium depletion caused by diuretics.

D. White rice: White rice is not a significant source of potassium compared to other options listed. While it is a carbohydrate-rich food, it does not contain as much potassium as foods like spinach, potatoes, tomatoes, or avocados.

E. Avocados: Avocados are rich in potassium and are considered a nutrient-dense food. They provide healthy fats along with potassium, making them a beneficial choice for individuals who need to replenish potassium levels depleted by diuretics.

A. Daily weights, vital signs and fluid intake and output B. Monitoring temperature, fluid intake and output and administering IV fluids C. Auscultation of lung sounds. Monitoring urine color and placing an indwelling urinary catheter in the client D. Daily weights, diuretics and waist measurement

Correct Answer is A

Explanation

A. Daily weights, vital signs, and fluid intake and output: These are essential nursing assessments and interventions that can be implemented without a physician's order to monitor the client's fluid volume deficit and hypovolemia. Daily weights help assess changes in fluid status, vital signs provide information on the client's hemodynamic stability, and monitoring fluid intake and output helps track fluid balance.

B. Monitoring temperature, fluid intake and output, and administering IV fluids: While monitoring temperature and fluid intake and output are important aspects of nursing care, administering IV fluids typically requires a physician's order, especially in the context of hypovolemia. The nurse should collaborate with the healthcare team to determine the need for IV fluid therapy.

C. Auscultation of lung sounds, monitoring urine color, and placing an indwelling urinary catheter in the client: Auscultation of lung sounds and monitoring urine color are relevant assessments for fluid volume status, but placing an indwelling urinary catheter typically requires a physician's order unless there is a specific nursing protocol in place allowing nurses to insert catheters under certain circumstances.

D. Daily weights, diuretics, and waist measurement: While daily weights are appropriate for assessing fluid status, administering diuretics should be based on a physician's order and assessment findings. Waist measurement is not typically used to assess fluid volume deficit and hypovolemia.

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The nurse is caring for a client who expresses concerns about sexual orientation. When using the PLISSIT model, which step will the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing instructions to a client receiving a diuretic that causes potassium loss. Which foods rich in potassium should the nurse recommend? (SELECT ALL THAT APPLY)

Correct Answer is ["A","B","C","E"]

Explanation

The nurse is caring for a client with a fluid volume deficit and hypovolemia. What actions can the nurse take without a physician's order?

Correct Answer is A

Explanation

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