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When working with older patients who identify with a specific ethnic group, the nurse recognizes that health care problems may occur in these patients because they
- A. Live with extended families who isolate the patient.
- B. Live in rural areas where services are not readily available.
- C. Eat ethnic foods that do not provide all essential nutrients.
- D. Have less income to spend for medications and health care services.
Correct Answer: D
Rationale: Limited financial resources hinder access to necessary healthcare services, making it difficult for older adults to afford medications and treatments.
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What outcome of being truthful about a terminal illness enhances the nurse-client relationship?
- A. The client’s autonomy and right to determine how to spend the rest of their life is upheld.
- B. Meaningful communication between clients and family members is promoted.
- C. The nurse-client relationship is based on honesty rather than false pretenses.
- D. Clients can use inner resources and determination to survive and prolong life.
Correct Answer: A
Rationale: Truthfulness empowers clients to make informed decisions about their remaining time, reinforcing trust and respect.
When determining hearing acuity, if the client reports first perceiving sound at ___ dB, then his or her hearing is normal.
- A. 4
- B. 8
- C. 12
- D. 16
Correct Answer: A
Rationale: Normal hearing acuity is typically defined as perceiving sound at 0-25 dB. Therefore, 4 dB would be within the range of normal hearing.
A healthcare professional wishes to provide client-centered care in all interactions. Which action by the healthcare professional best demonstrates this concept?
- A. Assesses for cultural influences affecting healthcare
- B. Ensures that all the client's basic needs are met
- C. Informs the client and family about all upcoming tests
- D. Thoroughly orients the client and family to the room
Correct Answer: A
Rationale: The correct answer is A because assessing for cultural influences affecting healthcare aligns with client-centered care by recognizing the individual's unique beliefs and values. This action promotes respect, understanding, and tailored care. Choice B might address physical needs but not necessarily emotional or cultural aspects. Choice C focuses on information sharing rather than understanding the client's perspective. Choice D, while important, does not directly address individualized care based on cultural factors.
What are the priority nursing interventions for a client in shock?
- A. Hypoxia
- B. Hypercapnia
- C. Acidosis
- D. Alkalosis
Correct Answer: C
Rationale: Acidosis occurs when blood pH drops below 7.35 due to an accumulation of hydrogen ions, commonly resulting from respiratory or metabolic imbalances.
A patient with trigeminal neuralgia has moderate to severe burning and shooting pain. In helping the patient to manage the pain, the nurse recognizes what about this type of pain?
- A. Treatment includes the use of adjuvant analgesics
- B. Will be chronic in nature and require long-term treatment
- C. Responds to small to moderate around-the-clock doses of oral opioids
- D. Can be well controlled with salicylates or nonsteroidal antiinflammatory drugs (NSAIDs)
Correct Answer: B
Rationale: The correct answer is B. Trigeminal neuralgia is chronic and often requires long-term management.