Nokea
A nurse working with a population of black clients is cognizant that some health conditions are more prevalent in this population than in the white population and is working to address them. Which health assessment would be the priority for this client population?
- A. Mandating different lifestyle choices because of a lower life expectancy
- B. Monitoring their blood pressure because of a blunted nocturnal response
- C. Examining their buccal mucosa because black skin color can complicate the use of skin color for assessment
- D. Monitoring for HIV/AIDS as this is a leading cause of death among black clients
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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A 52-year-old woman is preparing to have her father move into her home after his discharge from the hospital. Which of the following subjects should the discharge planning nurse prioritize when preparing the woman for her new caregiving role?
- A. The availability and scope of community resources
- B. The importance of her own self-care and techniques for maximizing it
- C. Assertiveness training to ensure she can set limits
- D. Management of finances
Correct Answer: B
Rationale: The correct answer is B. It is crucial for the discharge planning nurse to prioritize the importance of the woman's self-care and provide techniques for maximizing it. When taking on a caregiving role, the caregiver's well-being is essential to ensure effective care for the patient. While community resources (choice A) are important, the immediate focus should be on self-care. Assertiveness training (choice C) and financial management (choice D) are also significant but not as critical as self-care for the caregiver in this scenario.
An elderly man has relied on one of his sons for his care. Now the son has become very involved with a religion other than the one in which he was raised. As a result, he now refuses to help his father. What can a nurse do to help in this family situation?
- A. Set up a family conference that includes the son
- B. Bring in help from other family members or outside
- C. Insist that the son help, along with other family members
- D. Ask the family's own spiritual adviser to intervene
Correct Answer: A
Rationale: In this complex family situation, it is essential to approach the issue with sensitivity and understanding. Setting up a family conference that includes the son is the most appropriate action for the nurse to take. While it may seem challenging, there is a possibility that involving the son in a family discussion can help him understand the impact of his actions on his father and the rest of the family. By including him in the conversation, the son may realize the importance of his role in caring for his father. Insisting that the son help, along with other family members, could lead to resistance and further alienation. Asking the family's spiritual adviser to intervene may not be effective if the son is rebelling against the family's religion. If the family conference does not yield positive results, then bringing in help from other family members or an outside caregiver may become necessary to ensure the elderly man receives the care he needs.
A nurse is providing end-of-life care to an older female client who practices Judaism. Which intervention would the nurse identify as potentially problematic for this client and her family?
- A. The client requires transfusions of packed red blood cells during care.
- B. Assessment by a male health care provider was required.
- C. An autopsy was ordered due to the client's unique disease etiology.
- D. A do-not-resuscitate (DNR) order was recommended by the care team.
Correct Answer: C
Rationale: The correct answer is C. Autopsy is often opposed in the context of Jewish religious and cultural beliefs, as it is seen as desecration of the body. While a person who is a Jehovah's Witness would be opposed to blood transfusions (choice A), a Muslim client may prefer to be cared for by someone of the same gender (choice B). A DNR order (choice D) is not noted to be a particular issue in the context of Jewish culture.
Which of the following aspects of gerontological nursing would be most likely classified under private law?
- A. The regulation of who may call himself or herself a 'nurse'
- B. The contract between an older adult resident of a care facility and the owners of the facility
- C. The legal criteria for declaring an individual mentally incompetent
- D. The criminal consequences for instances of elder abuse
Correct Answer: B
Rationale: The correct answer is B because private law deals with relationships between individuals and organizations, such as the contract between an individual and the care facility. Choices A, C, and D are not classified under private law. Choice A pertains to professional regulation and is a matter of public law. Choice C involves legal criteria and decision-making related to mental competence, falling under public law. Choice D concerns criminal consequences, which are also part of public law.
How does a durable power of attorney differ from a power of attorney?
- A. It is granted by the court on behalf of an incompetent individual.
- B. It stays in effect if the individual granting it becomes incompetent.
- C. It goes into effect only after an individual becomes incompetent.
- D. It includes responsibility for managing an individual's financial assets.
Correct Answer: B
Rationale: A durable power of attorney allows competent individuals to appoint someone else to make decisions on their behalf in the event they become incompetent. Choice A is incorrect because a durable power of attorney is typically granted by the individual themselves, not the court. Choice C is incorrect as a durable power of attorney can be effective both before and after incompetency. Choice D is incorrect because managing financial assets is just one aspect of the authority granted by a power of attorney, not specifically for a durable power of attorney.