What is the nursing priority for patients diagnosed with scoliosis?

Breathing issues

Sleeping pattern

Pain management

Mobility

Answer and Explanation

The Correct Answer is C

Choice A reason: Breathing issues may occur in severe scoliosis with significant thoracic curvature, compressing lungs and reducing respiratory capacity. However, this is not the priority for most patients, as pain from spinal misalignment is more common and immediate, requiring intervention to improve quality of life.

Choice B reason: Sleeping pattern is not a priority in scoliosis management. While discomfort may affect sleep, pain from spinal curvature and muscle strain is the primary concern, as it directly impacts daily functioning and requires targeted interventions like analgesics or bracing.

Choice C reason: Pain management is the nursing priority for scoliosis, as lateral spinal curvature causes muscle strain, facet joint stress, and discomfort, particularly in progressive cases. Pain, mediated by inflammatory cytokines and mechanical stress, affects quality of life, making it the primary focus for symptom relief and patient comfort.

Choice D reason: Mobility is important in scoliosis but secondary to pain management. While curvature may limit movement, pain is the primary complaint driving functional impairment. Addressing pain through medication or physical therapy enhances mobility, making pain management the more urgent priority.

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Correct Answer is B

Explanation

Choice A reason: Traumatic grief occurs after sudden, unexpected loss, often with intense emotional distress. In terminal cancer, the illness is known, and death is expected, making anticipatory grief more applicable. Traumatic grief does not fit the gradual, foreseen nature of terminal illness, so this choice is incorrect.

Choice B reason: Anticipatory grief occurs when loss is expected, as in terminal cancer, where clients and families grieve before the actual death. This involves processing emotions like sadness and fear while preparing for the loss, aligning with the scenario of a terminally ill client, making this the correct choice.

Choice C reason: Disenfranchised grief involves losses not socially acknowledged, like the death of a pet or estranged relative. In terminal cancer, the loss is recognized and validated, so this type of grief does not apply to the client and family’s experience, making this choice incorrect.

Choice D reason: Complicated grief involves prolonged, intense grief that impairs functioning, typically after the loss occurs. In a terminally ill client, grief is anticipatory, not yet complicated by post-loss factors. This type is less relevant before death, making this choice incorrect for the scenario.

A. Bias is often isolated to inpatient hospitalization B. Displaying bias is a conscious act C. Favoring clients over others based upon their mental health diagnosis is not an indication of bias D. There is a negative stigmatization for mental illness

Correct Answer is D

Explanation

Choice A reason: Bias in mental health is not limited to inpatient settings; it occurs across outpatient, community, and emergency care. Stigmatizing attitudes can affect all healthcare interactions, as providers may unconsciously judge patients with mental health diagnoses, impacting care quality. This statement is inaccurate as it underestimates the pervasive nature of bias.

Choice B reason: Bias is often unconscious, not always a conscious act. Implicit biases, rooted in societal stereotypes, can influence healthcare providers’ attitudes toward mental health patients without deliberate intent. This statement is incorrect because it ignores the significant role of unconscious bias in perpetuating stigma in mental health care.

Choice C reason: Favoring clients based on their mental health diagnosis is a clear indication of bias, as it involves differential treatment based on stereotypes or assumptions. This can lead to unequal care, such as prioritizing certain diagnoses over others. This statement is incorrect, as it falsely denies a common form of bias.

Choice D reason: Negative stigmatization of mental illness is a well-documented issue in healthcare. It leads to biases where patients with mental health conditions are often judged, undertreated, or dismissed. This stigma can affect care delivery across settings, making this statement accurate and essential for discussion with a newly licensed nurse.

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What is the nursing priority for patients diagnosed with scoliosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has cancer and is terminally ill. The nurse should recognize that the client and their family might be experiencing which of the following types of grief?

Correct Answer is B

Explanation

A nurse is discussing bias issues in mental health with a newly licensed nurse. Which of the following statements should the nurse include in the discussion?

Correct Answer is D

Explanation

A nurse is caring for a client who is unable to make any decisions for themself and needs constant reassurance. The nurse should identify that these are manifestations of which of the following personality disorders?

A nurse is providing discharge teaching to a client who has bipolar disorder and will be discharged with a prescription for lithium. The nurse should teach the client that which of the following factors puts her at risk for lithium toxicity?

A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances, and is unable to control their sense of worry. The nurse should identify that these manifestations indicate which of the following?

A nurse is caring for a client who has a history of alcohol use disorder and has been hospitalized for detoxification. The nurse enters the room and finds the client shouting in a terrified voice, “Get these bugs off of me!” Which of the following responses by the nurse is appropriate?

A nurse is working with a client who reports following holistic practices at home. The nurse should identify that which of the following is an example of a holistic practice that the client might follow?

Which patient statement indicates to the nurse the need to provide additional information related to measures that prevent cancer development?

A client has an order for Congentin 2 mg tablet 2x a day. The client asks the nurse for the possible side effects of this medication. (Select all that apply)

A nurse is planning care for a client who has Alzheimer’s disease and is in the terminal phase. Which of the following findings should the nurse expect?