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An older adult client from a minority culture refuses to eat at the nursing home, stating, 'I just do not like the food here.' What factor should the staff assess for this problem?
- A. The client does not like eating with other residents of the home.
- B. The client is using this as an excuse to go home.
- C. The food served may not be culturally appropriate.
- D. The food served may violate religious beliefs.
Correct Answer: C
Rationale: The correct answer is C. Residents in long-term care settings often have limited food choices, which may not align with their cultural preferences. When assessing why a client is refusing to eat, it is essential to consider if the food served is culturally appropriate. Choices A, B, and D are incorrect. There is no indication in the scenario that the client's refusal to eat is due to not liking to eat with other residents, using it as an excuse to go home, or violating religious beliefs.
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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.
A nurse at a rehabilitation center is preparing a care plan for a 71-year-old post-stroke patient who has shown significant improvement in function and who is ready to return to the community. In the nurse's efforts to mobilize family caregiving, which of the following statements provides the most accurate criterion for inclusion in the category of 'family'?
- A. The patient's spouse, biological children, and closest friends
- B. Any unpaid person who has expressed sincere interest in the patient's condition and provided hands-on care since his admission to the facility
- C. Anyone who self-identifies as being a member of the patient's family
- D. Any individual who fulfills the patient's family functions
Correct Answer: D
Rationale: The most accurate criterion for inclusion in the category of 'family' when mobilizing family caregiving is identifying individuals who fulfill family functions. Choice D is the correct answer as it emphasizes the importance of individuals who perform essential family functions for the patient. This criterion is crucial as it prioritizes the practical support and care provided by individuals over biological relationships (Choice A), self-identification (Choice C), or willingness to provide care (Choice B), which may not always translate to fulfilling necessary family functions.
A discharge planning nurse works with a wide variety of families when organizing care for older adults after their discharge from the hospital. Which of the following relationship structures would the nurse consider to be a family? Select all that apply.
- A. Mr. E and his partner, Mr. S, who live together in an apartment
- B. Mr. R and his new 'lady friend,' who began cohabiting 2 months ago
- C. Mrs. B and her daughter, son-in-law, and widowed sister, all of whom share a house
- D. Mr. R, who is estranged from his children and has lived with his brother, a bachelor, for several years
Correct Answer: A
Rationale: The correct answer is A. While not traditional nuclear family structures, all of the given relationships and living arrangements constitute family units. Mr. E and his partner, Mr. S, who live together in an apartment, form a family unit. Choice B is not considered a family as it describes a relatively new and non-committal relationship. Choice C describes a traditional family structure with Mrs. B, her daughter, son-in-law, and widowed sister sharing a house, which also constitutes a family unit. Choice D describes a situation where Mr. R is estranged from his children and living with his bachelor brother, which can also be considered a family unit but is not as inclusive as the relationship described in choice A.
What might a nurse suggest to help the grown children make the most of their limited incomes and time with their parents?
- A. Help them find nearby spots for picnics or other free outings
- B. Refer the family to a more appropriate practitioner
- C. Suggest they take out a second mortgage on the family house
- D. Encourage the entire family to participate in activities at Haven
Correct Answer: A
Rationale: A nurse, as a caring worker, may suggest helping the grown children find nearby spots for picnics or other free outings. This suggestion would allow the parents to get out of the facility and enjoy quality time with their children without any financial burden. While the family may also want to participate in activities at the facility, a picnic would provide a change of scenery. Referring the family to a more appropriate practitioner is not relevant to improving the limited incomes and time spent with the parents. Suggesting to take out a second mortgage on the family house could provide temporary financial relief but may not be the most suitable solution for maximizing time spent with the parents.
How can the nurse best respond to this situation?
- A. The nurse should accept that the relationship plays a positive role for the man.
- B. The nurse should organize a family meeting that includes both the children and the man's partner in an effort to facilitate reconciliation.
- C. The nurse should document the children's concerns and investigate the truth of their claims.
- D. The nurse should ask the partner to demonstrate that she is not a negative influence on the resident.
Correct Answer: A
Rationale: In this scenario, the nurse should respect the father's perspective and accept that the relationship with his common-law partner may indeed be positive and beneficial for him. The nurse's role is to support the patient's autonomy and decisions, especially when there are no legal concerns or signs of abuse. Organizing a family meeting (Choice B) might be premature without first acknowledging the father's viewpoint. Documenting concerns and investigating (Choice C) may create unnecessary conflict and breach the father's trust. Asking the partner to prove herself (Choice D) could strain the relationship further and is not within the nurse's role unless there are clear signs of harm or abuse.