A student asks the faculty to explain best practices when communicating with a person from the LGBTQ community. What answer by the faculty is most accurate?
- A. Avoid embarrassing the individual by asking questions.
- B. Don't make assumptions about their health needs.
- C. Most LGBTQ individuals do not want to share information.
- D. No differences exist in communicating with this group.
Correct Answer: B
Rationale: The correct answer is B: Don't make assumptions about their health needs.
Rationale:
1. LGBTQ individuals have diverse health needs.
2. Making assumptions can lead to inappropriate or inadequate care.
3. By not assuming, you show respect and promote open communication.
4. This approach fosters trust and ensures individualized care.
Other choices:
A: Avoiding questions can hinder understanding and communication.
C: Generalizing that most LGBTQ individuals do not share information is inaccurate.
D: Differences exist in the LGBTQ community that should be acknowledged for effective communication.
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During a home visit to an older client living alone post-coronary artery bypass graft, what finding prompts the nurse to consider additional referrals?
- A. Dirty carpets requiring vacuuming
- B. Expired food found in the refrigerator
- C. Outdated medications stored in the kitchen
- D. Presence of multiple cats in the home
Correct Answer: B
Rationale: The correct answer is B (Expired food found in the refrigerator) because it poses a potential health risk to the client. Expired food can lead to foodborne illnesses, especially for an older adult post-surgery. Dirty carpets (choice A) may not directly impact the client's health. Outdated medications (choice C) can be addressed by the nurse without additional referrals. The presence of multiple cats (choice D) may be a concern for allergies or cleanliness, but it is not as urgent as expired food in terms of health risks.
Lack of bubbling in the suction control chamber indicates
- A. Excessive negative pressure (suction)
- B. A leak somewhere in the drainage system, as within the patient
- C. A kink or plug in the drainage tubing
- D. The patient’s lung has reexpanded
Correct Answer: D
Rationale: Reexpanded lungs stop air leakage into the drainage system.
The dying patient and family have many interrelated psychosocial and physical care needs. Which ones can the nurse begin to manage with the patient and family (select all that apply)?
- A. Anxiety
- B. Fear of pain
- C. The dying process
- D. Anger toward the nurse.
Correct Answer: A
Rationale: The nurse can address anxiety, fear of pain, and the dying process through education, medication, and emotional support, while anger toward the nurse might require conflict resolution strategies.
What question should a nurse ask a client who has an anteroposterior (AP) chest diameter equal to the lateral chest diameter?
- A. Are you taking any medications or herbal supplements?
- B. Do you have any chronic breathing problems?
- C. How often do you perform aerobic exercise?
- D. What is your occupation and what are your hobbies?
Correct Answer: B
Rationale: The correct answer is B: Do you have any chronic breathing problems? This question is relevant because equal AP and lateral chest diameters can indicate a barrel chest, which is often associated with chronic breathing problems like chronic obstructive pulmonary disease (COPD). Chronic breathing problems can lead to this specific chest shape due to increased lung volume. Choice A is incorrect as it does not directly relate to the physical assessment findings. Choice C is incorrect as it focuses on exercise habits rather than the client's current health status. Choice D is incorrect as it does not address the potential underlying health issue indicated by the chest measurements.
The nurse is caring for a client with trigeminal neuralgia. To assist the client with nutrition needs, the nurse should:
- A. Offer small meals of high calorie soft food.
- B. Assist the client to sit in a chair for meals.
- C. Provide additional servings of fruits and raw vegetables.
- D. Encourage the client to eat fish, liver and chicken.
Correct Answer: A
Rationale: Soft foods minimize facial muscle movement, reducing pain.