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A home health nurse is visiting with an older adult client. Which of the following observations indicate the need for home modification? A) The home has power strips that have breakers. B) The cli... ent uses an electric toaster oven for cooking. C) There are two rocking chairs in the living room. D) The bathtub has a seat and a hand-held shower head. - There are two rocking chairs in the living room. Reasoning: rocking chairs and swivel chairs will require a modification. The nurse should block the motion of the chairs to keep them stable so that the client can easily get in and out. A case manager is planning an educational program for a client who has diabetes mellitus. Which of the following activities should the nurse include when using the psychomotor domain of learning? A) Review a color diagram of the food pyramid with the client. B) Show the client a video about how to monitor blood glucose levels. C) Observe the client's technique for drawing up insulin. D) Encourage the client to discuss their feelings of self-worth. - Observe the client's technique for drawing up insulin A case manager is developing a discharge plan for a client who has spinal cord injury and is in a rehab facility. Which of the following actions should the nurse take first? A) Hold a care conference with the client to discuss treatment options. B) Contact service providers to determine the availability of services offered. C) Determine the client's ability to perform self-care. D) Evaluate the client's satisfaction with the case manager's services. - Determine the client's ability to perform self-care. Reasoning: The first action the nurse should take when using the nursing process is to assess the client's needs. Determining a client's needs is the first step of the case management process which allows the case manager to plan client-centered care. A nurse is assessing a new client. Which of the following information should the nurse include in the cultural portion of the assessment? A) Food preferences B) Employment status C) History of illnesses D) Sexual orientation - food preferences. Reasoning: food preferences are a part of cultural assessment. A school nurse is teaching health promotion to a group of staff members who sit at a desk and use a computer for 8hr at a time. Which of the following information is the priority for the nurse to include A) "Take a walk after work." B) "Point and flex your toes periodically." C) "Have your visual acuity assessed regularly." D) "Adjust your chair so that your elbows are at desk height." - Point and flex your toes periodically. Reasoning: the greatest risk to staff members who are immobile for long periods of time is a venous thromboemobolism. Therefore, the nurse should encourage the staff members to frequently change the position of their feet and legs. A nurse is collecting demographic data as part of a community assessment. Which of the following information should the nurse include? A) Racial distribution B) Family genograms C) Number of open water sources D) Presence of condemned buildings - racial distribution. Reasoning: racial distribution is part of demographic data. Other types of demographic data include marital information, population density, and death and birth rates. A nurse is caring for a client who has terminal lung cancer and is receiving hospice care. Which of the following statements should the nurse ID as an indication that the client is in the denial stage of the grief process? A) "I'm looking forward to my daughter's wedding next year." B) "I don't deserve to die. This just isn't fair." C) "If I could just make it through this, I'd never smoke again." D) "I'm going to plan my memorial service next week." - "I'm looking forward to my daughter's wedding next year". Reasoning: during the denial stage of the grief process, the client rejects the reality of the impending loss. An occupational health nurse is planning to use an interpreter during an educational session with a group of workers who speak a different language than the nurse. Which of the following actions should the nurse take? A) Instruct the interpreter to guide the nurse in providing information in a culturally-sensitive manner. B) Ask the interpreter to add information she feels might be necessary. C) Choose an interpreter who speaks the workers' language and dialect. D) Evaluate the interpreter's approach to clients prior to the educational session. E) Encourage the interpreter to paraphrase the workers' questions and responses. - A) Instruct the interpreter to guide the nurse in providing info in a culturally-sensitive manner C) Choose an interpreter who speaks the workers' language and dialect D)Evaluate the interpreter's approach to clients prior to the edu session [Show More]

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