The nurse wants to use role-playing as a teaching technique. Which group is most likely to benefit from this teaching method?

Newly pregnant women who are attending a well-baby seminar.

Older adults who are preparing to retire from the workforce.

Adolescents who are learning to abstain from recreational drug use.

Men who are willing to admit that they have a drinking problem.

Answer and Explanation

The Correct Answer is C

Choice A reason: Newly pregnant women benefit from informational teaching about prenatal care, but role-playing is less effective for this group. Their focus is on factual knowledge, like nutrition or labor preparation. Role-playing is better suited for behavioral change, making it less impactful for this group’s educational needs.

Choice B reason: Older adults preparing for retirement need guidance on financial or lifestyle adjustments, where role-playing is less effective. Didactic or discussion-based teaching better addresses their needs. Role-playing suits behavioral skill-building, which is not the primary focus for this group, making it a less beneficial method.

Choice C reason: Adolescents learning to abstain from drugs benefit from role-playing, as it builds skills to resist peer pressure and practice refusal strategies. This interactive method engages teens, reinforcing behavioral change through simulated scenarios. Evidence supports role-playing for adolescent substance abuse prevention, making it highly effective for this group’s needs.

Choice D reason: Men admitting a drinking problem benefit from support groups or counseling, but role-playing is less tailored to their needs. Their focus is on emotional processing and coping strategies. Role-playing is more effective for skill-building in social contexts, like drug refusal, than for addressing established addiction.

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Correct Answer is C

Explanation

Choice A reason: Chronic insomnia and atrial fibrillation are not direct risk factors for sleep apnea. Warfarin treats clotting but does not affect airway obstruction. Sleep apnea is linked to obesity and anatomical factors, making this client less likely to require regular nighttime assessments compared to an obese, hypertensive client.

Choice B reason: Restless leg syndrome and COPD affect sleep and breathing but are not primary sleep apnea risk factors. COPD causes chronic airflow limitation, not intermittent airway collapse like apnea. Obesity is a stronger predictor, making the obese client with comorbidities a higher priority for regular sleep apnea assessments.

Choice C reason: Obesity, diabetes, and hypertension are strongly associated with obstructive sleep apnea, as excess weight narrows airways, causing intermittent collapse during sleep. Older adults are at higher risk due to reduced muscle tone. Regular nighttime assessments for snoring or apneic episodes are critical to detect and manage this condition, per evidence-based guidelines.

Choice D reason: A bleeding ulcer, high stress, and flurazepam use may disrupt sleep but are not specific to sleep apnea. Flurazepam, a sedative, may worsen undiagnosed apnea by relaxing airway muscles. Obesity remains a stronger risk factor, making the obese client with comorbidities the priority for regular apnea assessments.

A. Notify the healthcare provider (HCP). B. Document the event in the electronic health record (EHR). C. Inform the nurse on the next shift. D. Complete an incident report.

Correct Answer is A

Explanation

Choice A reason: Notifying the HCP immediately ensures prompt evaluation of the medication error’s impact and any needed interventions. Administering an unprescribed antibiotic risks adverse reactions or ineffective treatment. Prompt notification supports patient safety, aligns with error management protocols, and allows the HCP to adjust the care plan accordingly.

Choice B reason: Documenting in the EHR is critical but secondary to notifying the HCP. Immediate notification allows the provider to assess and mitigate harm from the unprescribed antibiotic. Documentation follows to record the error and actions taken, but delaying HCP contact risks prolonged exposure to potential adverse effects.

Choice C reason: Informing the next shift’s nurse ensures continuity but is not the priority. Notifying the HCP first addresses the immediate clinical implications of the unprescribed antibiotic. Shift reports are secondary, as the error requires prompt provider intervention to evaluate the client’s condition and prevent harm from the medication mistake.

Choice D reason: Completing an incident report is necessary for quality improvement but not the first step. Notifying the HCP ensures immediate clinical action to address the unprescribed antibiotic’s effects. Incident reports follow to analyze system issues, but patient safety requires provider notification first to manage potential adverse outcomes.

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The nurse wants to use role-playing as a teaching technique. Which group is most likely to benefit from this teaching method?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is planning care for a group of clients during the night shift on a medical unit. Which client should be assessed regularly during the night for sleep apnea?

Correct Answer is C

Explanation

After an IV antibiotic is started, the nurse discovers that the medication is not prescribed for the client and stops the infusion. Which action should the nurse implement next?

Correct Answer is A

Explanation

After a client voids, 150 ml of residual urine is noted. Which nursing problem should be included in the client’s plan of care?

The nurse is teaching a client about use of syringes and needles for home administration of medications. Which action by the client indicates an understanding of standard precautions?

After reviewing the admission assessment of a client, which intervention(s) should the nurse include in this client’s plan of care? (Select all that apply)

It is most important for the nurse to recalculate the Braden scale score for a client who has developed which problem?

When identifying the goals to be included in a client’s plan of care, the nurse should take which action?

Which action should the nurse implement for a client with shortness of breath, dyspnea on exertion, and chest pressure?

A prescription for bilateral soft wrist restraints is obtained for an older adult client who has repeatedly removed the nasogastric tube (NGT) and IV sites. After applying the restraints, which action is most important for the nurse to take?