When assessing the older adult for bowel health, the nurse is most effective in obtaining subjective data when asking:

"Would you describe your bowel movements as usually normal?"

"Do you have a problem with constipation?"

Have your bowel movements changed recently?

"How often do you usually have a bowel movement?"

Answer and Explanation

The Correct Answer is C

A. This question can provide some subjective data, but it is somewhat vague and open-ended. It may not elicit detailed information about specific changes or issues related to bowel health. The term "normal" can be interpreted differently by different individuals, leading to potentially ambiguous responses.
B.A This question is direct and focused on a specific issue—constipation. It is useful for identifying if the patient is experiencing problems with bowel movements, but it may not capture the full range of bowel health issues or provide insight into other aspects of bowel function such as frequency, consistency, or recent changes.
C. This question is effective in obtaining subjective data because it prompts the patient to consider and describe any recent changes in their bowel habits. Changes in bowel movements can be indicative of underlying health issues, and this question encourages the patient to provide specific information about any deviations from their usual pattern, such as increased or decreased frequency, consistency changes, or the presence of pain.
D. This question directly addresses the frequency of bowel movements, which is a key component of bowel health. It helps establish a baseline for normal bowel patterns for the individual. However, it does not address other aspects of bowel health such as consistency, difficulty, or recent changes.

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Correct Answer is C

Explanation

A. This action demonstrates a willingness to understand and respect the patient’s cultural beliefs. By asking for more details, the nurse shows interest in the patient's perspective and opens a dialogue to better understand the cultural context of their health beliefs.
B. This action involves the nurse taking the initiative to understand the cultural practices and dietary beliefs of the patient. By researching these beliefs, the nurse can gain insight into how the patient's culture views dietary management and how it might be integrated into their overall care. However, while researching is valuable, it does not directly engage with the patient’s beliefs or preferences in a clinical context.
C. By discussing how to incorporate the patient’s dietary preferences into their treatment plan, the nurse is showing respect for the patient's cultural beliefs while still working within the medical framework. This approach helps to integrate the patient’s cultural practices with conventional medical treatment, fostering a collaborative approach to care.
D. This action is also a good example of cultural accommodation. By involving a registered nutritionist, the nurse is providing the patient with professional guidance that aligns with their cultural beliefs about dietary management. This approach respects the patient’s preferences and provides expert advice on how to incorporate those preferences into a medically sound treatment plan.

A. assesses the patient for functional limitations B. arranges for the needed UAP provided services C. assumes the roles of case manager and patient advocate D. evaluates the competency of the UAP staff

Correct Answer is D

Explanation

A. While assessing the patient's functional limitations is important for determining the appropriate level of care needed, it does not directly address the competency of the UAP staff.
B. Arranging for UAP services is important, but it does not guarantee the quality of care provided. Evaluating the competency of the UAP staff is essential to ensure that the patient receives safe and effective care.
C. While the nurse may play a role in case management and advocacy, it's important to ensure that the UAP staff is competent to provide the necessary care.
D. To ensure the quality of care and safety of an older adult patient who requires in-home UAP assistance, it's crucial to evaluate the competency of the UAP staff. This involves assessing their skills, knowledge, and ability to provide safe and effective care.

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When assessing the older adult for bowel health, the nurse is most effective in obtaining subjective data when asking:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A Hispanic patient explains that the Hispanic culture believes that dietary management would be just as effective in managing her problems as medication, so the patients prescription has not been filled. Which action by the nurse illustrates cultural accommodation?

Correct Answer is C

Explanation

To best assure both the quality of care and the safety of the older adult patient who requires in home unlicensed assistive personal (UAP) assistance, the geriatric nurse:

Correct Answer is D

Explanation

Which questions should the nurse consider before delegating care to another team member? (Select all that apply)

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