What does the nurse know to be the goals of client teaching? (Select all that apply).
Health promotion.
Understanding of treatment options.
Disease prevention.
Eliminating the need for further care.
Management of illness.
Correct Answer : A,B,C,E
The goals of client teaching are to promote health, understand treatment options, prevent disease, and manage illness. These goals are established by the nurse and the client together, based on the client’s learning needs, preferences, and readiness. The nurse should use appropriate teaching strategies to help the client achieve these goals and evaluate the outcomes.
Choice D is wrong because eliminating the need for further care is not a realistic or attainable goal for most clients.
Clients may still need follow-up care, monitoring, or support after discharge. The nurse should not give false expectations or discourage the client from seeking help when needed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rhonchi. Rhonchi are low-pitched, rattling sounds that indicate mucus in the larger airways. They are most evident on expiration and may decrease after coughing.
Choice B is wrong because wheezes are high-pitched, squeaking sounds that indicate narrowed small air passages. They are usually heard on both inspiration and expiration.
Choice C is wrong because crackles are short, high-pitched popping sounds that indicate fluid or inflammation in the alveoli. They are usually heard on inspiration.
Choice D is wrong because pleural friction rubs are creaking or grating sounds that indicate inflammation of the pleura. They are usually heard on both inspiration and expiration and do not change with coughing.
Correct Answer is B
Explanation
Interview the client privately and ask if anyone is harming her.
This is because the nurse has a duty to assess the client for possible elder abuse and report any suspicions to the appropriate authorities.
The nurse should not assume that the son is the abuser or that the client will disclose the abuse without being asked directly.
The nurse should also respect the client’s autonomy and privacy and not confront the son or provide an elder abuse brochure without the client’s consent.
Choice A is wrong because it may imply that the client is responsible for preventing the abuse or that the nurse has already made a judgment about the situation.
It may also be ineffective if the client is unable or unwilling to read the brochure or seek help. Choice C is wrong because it may delay the assessment and intervention for the client.
It may also be biased and unfair to observe the son without interviewing him or the client first.
Choice D is wrong because it may violate the client’s rights and preferences.
It may also be premature to report the abuse without confirming it with the client or obtaining more evidence.
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