Nokea
client states my life has no meaning right now.
- A. have you been thinking about harming yourself
- B. how long have you been feeling this way
- C. tell me what is going on with you right now
- D. do you really think your life has no purpose
Correct Answer: D
Rationale: The correct answer is D because it directly addresses the client's statement by reflecting it back to them for clarification. This approach encourages the client to explore their thoughts further and may lead to deeper insights. Choice A is incorrect as it jumps to conclusions about self-harm. Choice B focuses on duration rather than the meaning behind the statement. Choice C is too general and does not specifically address the client's feeling of meaninglessness.
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a home health nurse is planning theinitial home visit for a client who has dementia and
- A. lives with his adult son’s family. which of the following actions should the nurse take first during the visit?
- B. encourage the family to join a support group
- C. provide the family with information about respite care
- D. educate the family regarding the progression of dementia
- E. engage the family in informal conversation
Correct Answer: A
Rationale: The correct answer is A. The nurse should first assess the client's living situation to ensure safety and support. Living with the son's family may impact care needs. Encouraging the family to join a support group (B) can come later to offer emotional support. Providing information about respite care (C) is important but not the priority. Educating the family about dementia progression (D) can wait until after assessing immediate needs. Engaging in informal conversation (E) is beneficial but not the initial priority.
The partner of an older adult client who has Alzheimer’s disease reports that he is not eating. The partner refuses to assist with feeding. Which of the following is the priority action the nurse should take?
- A. Arrange for Meals on Wheels assistance.
- B. Determine the client’s ability to self-feed.
- C. Direct the home health aide to assist with meals.
- D. Refer the client’s partner to an Alzheimer’s support group.
Correct Answer: B
Rationale: The correct answer is B: Determine the client's ability to self-feed. The priority action is to assess the client's capacity to feed themselves independently. This is crucial in identifying any issues or barriers the client may be facing in terms of feeding. By determining the client's ability to self-feed, the nurse can develop an appropriate plan of care tailored to the client's specific needs.
Choices A, C, and D are incorrect because they do not address the immediate concern of evaluating the client's ability to feed themselves. While arranging for Meals on Wheels or directing the home health aide to assist with meals may be helpful interventions, they do not address the root cause of the issue. Referring the client's partner to an Alzheimer's support group may be beneficial in the long term but does not address the immediate need to assess the client's ability to self-feed.
A nurse is working to reduce individual and family violence in the local community. Which of the following actions by the nurse demonstrates a primary prevention strategy to achieve this goal?
- A. Conducting counseling for at-risk parents.
- B. Assessing a family for marital discord.
- C. Teaching parenting techniques to new parents.
- D. Providing treatment for a young adult who has a substance use disorder.
Correct Answer: C
Rationale: The correct answer is C: Teaching parenting techniques to new parents. Primary prevention aims to prevent violence before it occurs by promoting healthy behaviors and addressing risk factors. Teaching parenting techniques to new parents helps build strong family relationships, enhances parenting skills, and reduces the likelihood of violence. Choices A, B, and D are not primary prevention strategies. Counseling for at-risk parents (A) is a secondary prevention strategy aimed at early detection and intervention. Assessing a family for marital discord (B) is a tertiary prevention strategy focused on addressing existing issues. Providing treatment for substance use disorder (D) is also a tertiary prevention strategy aimed at treating an existing condition.
a nurse is caring for a client who is having difficulty performing activities of daily living. the nurse is functioning in which of the following roles when arranging for an occupational therapist to visit the client.
- A. Administrator
- B. nurse consultant
- C. case manager
- D. clinician
Correct Answer: C
Rationale: The correct answer is C: case manager. A case manager coordinates and arranges services for clients, such as arranging for an occupational therapist to visit the client. This role involves assessing needs, developing care plans, and coordinating care among different providers.
A: Administrator is responsible for managing the overall operations of a healthcare facility, not individual client care.
B: Nurse consultant provides expert advice and guidance to other healthcare providers but does not typically arrange for specific services for clients.
D: Clinician directly provides patient care and treatment, but does not typically coordinate services provided by other healthcare professionals.
A newly hired occupational health nurse is assessing hazards in the work environment. Which of the following actions will help the nurse detect potential physical hazards?
- A. Track rates of illness caused by infection among employees.
- B. Survey workers about job-related emotional stress.
- C. Identify industrial toxins that are present in the environment.
- D. Measure noise levels at various locations in the facility.
Correct Answer: D
Rationale: The correct answer is D: Measure noise levels at various locations in the facility. This action helps the nurse detect potential physical hazards because high noise levels can lead to hearing loss, stress, and other health issues. By measuring noise levels, the nurse can assess if the workplace is within safe limits set by regulations.
A, B, and C are incorrect because tracking rates of illness caused by infection, surveying workers about emotional stress, and identifying industrial toxins relate to different types of hazards (biological, psychological, and chemical) rather than physical hazards.
By focusing on noise levels, the nurse can effectively address physical hazards, ensuring a safer work environment for employees.