The nurse is preparing for an initial home care visit for a client with diabetes. Which action by the nurse is appropriate? SELECT ALL THAT APPLY
Asking how they are managing at home
Going automatically into the client's bedroom
Arranging mutual future visits
Thanking the client for arranging a home visit
Sitting down and discussing with the client and family members
Correct Answer : A,C,E
Choice A reason: Asking how they are managing at home is an appropriate action by the nurse. It shows respect and interest in the client's situation and helps to assess their needs, challenges, and goals.
Choice B reason: Going automatically into the client's bedroom is not an appropriate action by the nurse. It violates the client's privacy and autonomy and may make them feel uncomfortable or threatened. The nurse should ask for permission before entering any room in the client's home.
Choice C reason: Arranging mutual future visits is an appropriate action by the nurse. It demonstrates collaboration and commitment and helps to establish a trusting relationship with the client. It also allows the nurse to plan and coordinate the care and follow-up.
Choice D reason: Thanking the client for arranging a home visit is not an appropriate action by the nurse. It implies that the home visit is a favor or a burden, rather than a professional service that the client is entitled to. It may also undermine the nurse's authority and credibility.
Choice E reason: Sitting down and discussing with the client and family members is an appropriate action by the nurse. It indicates that the nurse values the client's perspective and input, and recognizes the family as an important source of support and information. It also facilitates communication and education and promotes shared decision-making.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: The client's financial resources is not the most important factor for the nurse to consider. Although Meals-on-Wheels is a low-cost or free service that provides nutritious meals to homebound seniors and people with disabilities, it does not require a specific income level or financial status to qualify. The nurse should focus on the client's nutritional and functional needs, rather than their economic situation.
Choice B reason: The client's level of family support is not the most important factor for the nurse to consider. Although having family members who can assist with meal preparation and delivery can be helpful and beneficial for the client, it is not a requirement or a guarantee for receiving Meals-on-Wheels. The nurse should assess the client's individual capabilities and preferences, rather than their family availability or involvement.
Choice C reason: The client's access to transportation is not the most important factor for the nurse to consider. Although having access to transportation can enable the client to obtain food and groceries from other sources, such as stores, markets, or restaurants, it is not a criterion or a barrier for receiving Meals-on-Wheels. The nurse should evaluate the client's dietary and health needs, rather than their mobility or transportation options.
Choice D reason: The client's ability to prepare meals is the most important factor for the nurse to consider. Meals-on-Wheels is designed to serve clients who are unable to cook or shop for themselves due to physical, mental, or social limitations. The nurse should determine if the client has any impairments or challenges that prevent them from preparing their own meals, such as vision loss, arthritis, dementia, or isolation. If the client has difficulty or inability to prepare meals, they may be eligible for Meals-on-Wheels.
Correct Answer is D
Explanation
Choice A: Encourage community members to practice fire drills. This is incorrect because fire drills are a part of the preparedness phase, not the prevention/mitigation phase. The prevention/mitigation phase aims to reduce the risk and impact of disasters, while the preparedness phase aims to enhance the readiness and response capacity of individuals and communities.
Choice B: Identify community members who have disabilities. This is incorrect because identifying community members who have disabilities is also a part of the preparedness phase, not the prevention/mitigation phase. The prevention/mitigation phase focuses on actions that can prevent or minimize the occurrence or effects of disasters, such as installing smoke detectors, reinforcing buildings, or creating evacuation routes.
Choice C: Provide first aid to community members affected by a tornado. This is incorrect because providing first aid to community members affected by a tornado is a part of the response phase, not the prevention/mitigation phase. The response phase involves immediate actions to save lives, protect property, and meet basic needs after a disaster occurs.
Choice D: Assist community members in developing a disaster plan. This is correct because assisting community members in developing a disaster plan is a part of the prevention/mitigation phase. A disaster plan can help identify potential hazards, assess vulnerabilities, establish goals and objectives, and implement strategies to reduce the risk and impact of disasters.
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