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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.
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a community health nurse observes the accumulation of garbage at a neighborhood playground. which of the following actions should the nurse take first to promote a clean and safe environment?
- A. meet with community members to discuss methods of playground maintenance
- B. partner city officials with community members to improve the playground condition
- C. work with local businesses to sponsor more trash receptacles in the playground
- D. engage neighborhood families to monitor the playground for further trash buildup
Correct Answer: D
Rationale: The correct answer is D because engaging neighborhood families to monitor the playground for further trash buildup addresses the immediate issue effectively. By involving the community directly, the nurse empowers residents to take ownership of the problem and fosters a sense of responsibility for maintaining a clean environment. This approach promotes sustainable change by creating a culture of vigilance and accountability among families. Other choices such as A, B, and C involve external parties and may not address the root cause or build community capacity for long-term solutions. Therefore, D is the most proactive and community-centered option to promote a clean and safe environment.
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.
a home health nurse is caring for a client who has chemotherapy induced nausea that has been resistant to relief form pharmacological measures. which of the following interventions should the nurse initiate (select all that apply)?
- A. use seasonings to enhance the flavor of foods
- B. provide sips of room temperature ginger ale between meals
- C. maintain the head of theclients bed in an elevated position after eating
- D. offer 120 ml (4 oz.) of cold 2% milk as a meal replacement
- E. assist the client in using guided imagery
Correct Answer: D
Rationale: The correct answer is D: offer 120 ml (4 oz.) of cold 2% milk as a meal replacement. Cold milk can help soothe the stomach and provide some relief from nausea. It is important to offer a small amount like 120 ml to prevent overwhelming the digestive system.
A: Using seasonings may worsen nausea due to strong flavors.
B: Ginger ale can contain carbonation which may exacerbate nausea.
C: Elevating the head of the bed is more beneficial for GERD, not chemotherapy-induced nausea.
E: Guided imagery may be helpful for relaxation but may not directly address the nausea.
In summary, offering a small amount of cold milk is the most appropriate intervention as it can help provide relief without exacerbating the nausea.
several nurses are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. which of the following services should the nurses plan to provide to the congregation?
- A. organize an influenza immunization clinic with the American red cross
- B. perform wound care in the home of members
- C. provide end of life care for members who are terminal
- D. facilitate discharge from the facility to the home
Correct Answer: D
Rationale: The correct answer is D: facilitate discharge from the facility to the home. This service is essential for ensuring a smooth transition for patients returning home from a healthcare facility. Nurses can coordinate care, medication management, and follow-up appointments to prevent readmissions. Choice A is incorrect as the organization of an influenza immunization clinic is not directly related to facilitating patient discharge. Choice B is incorrect as performing wound care at home may not be within the scope of parish nursing and could risk infection control. Choice C is incorrect as providing end-of-life care is crucial but may not be the primary focus of a parish nurse group.
A nurse is providing teaching to a 50-year-old female client. Which of the following statements should the nurse include in the teaching?
- A. You should have a complete eye examination every 2 years until the age of 64.
- B. You should have your hearing screened every 5 years.
- C. You should have your stool tested for blood every other year until the age of 74.
- D. You should have your fasting blood glucose level checked every 6 years.
Correct Answer: C
Rationale: The correct answer is C: You should have your stool tested for blood every other year until the age of 74. This is important for early detection of colorectal cancer, which is recommended starting at age 50. Stool testing for blood helps identify any signs of bleeding in the digestive tract, a potential indicator of colorectal cancer. The other choices are incorrect because eye examinations should be done annually after age 65, hearing screening should be done every 3-5 years, fasting blood glucose should be checked more frequently for diabetes screening, and stool testing for blood should be continued beyond age 74 due to the ongoing risk of colorectal cancer.