Nokea
Josie is the mother of a healthy 19-year-old woman having surgery tomorrow. After the surgeon discusses the surgery, risks, and benefits with the patient and her mother, the mother wants to sign the consent form. The most appropriate response to this would be:
- A. Of course, she can sign the consent form; after all, the patient is her daughter.
- B. No, she cannot sign the form.
- C. While you appreciate her concern for her daughter, the patient is a consenting adult and legally needs to sign her own consent form.
- D. Encourage both the patient and her mother to sign the form.
Correct Answer: C
Rationale: A 19-year-old is considered a consenting adult and must sign their own consent form unless they are deemed legally incompetent. The mother's role is supportive but does not override the patient's legal rights.
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Which assessment tools can be used to assess the cardiac system (select all that apply)?
- A. Watch
- B. Stethoscope
- C. Ophthalmoscope
- D. Percussion hammer
Correct Answer: D
Rationale: The correct answers are 'Watch,' 'Stethoscope,' 'Percussion hammer,' and 'Blood pressure cuff.' These tools aid in evaluating heart rate, rhythm, sounds, and vascular status.
Before giving a beta-adrenergic blocker glaucoma agent, you would notify the physician if the client discloses a history of what condition?
- A. Hypertension
- B. Tachycardia
- C. Rheumatoid arthritis
- D. Bradycardia
Correct Answer: D
Rationale: Beta-adrenergic blockers can exacerbate bradycardia, so the physician should be notified before administration.
Seven tasks required for daily living with chronic illness have been identified. From Table 5-4, select at least one of these tasks that would specifically apply to the following common chronic conditions in older adults.
- A. Diabetes mellitus
- B. Visual impairment
- C. Heart disease
- D. Hearing impairment
Correct Answer: A
Rationale: Each chronic condition requires specific daily living tasks: Diabetes involves monitoring blood sugar; visual impairment may require adaptive techniques; heart disease necessitates lifestyle modifications; hearing impairment might involve using assistive devices.
Limited health literacy may be associated with which conditions that lead to health disparities?
- A. Age
- B. Place
- C. Gender
- D. Race/ethnicity
Correct Answer: A
Rationale: Health literacy issues often correlate with age, place, race/ethnicity, language barriers, and income/education. Gender is less directly tied but still relevant in some contexts.
Why may it pose a challenge to supplement or restrict dietary consumption when providing health-related education to clients from culturally diverse populations?
- A. Cultural beliefs about food may conflict with dietary recommendations.
- B. Clients may prefer traditional healers over modern medicine.
- C. Language barriers may hinder understanding.
- D. All of the above.
Correct Answer: A
Rationale: Cultural beliefs significantly influence dietary habits, requiring sensitivity and adaptation in health education.