A case management nurse is arranging discharges for several clients. Which of the following interventions would the nurse recognize as suitable for non-skilled care?

Evaluating self-administration of insulin in a 68-year-old client with newly diagnosed diabetes mellitus

Auscultating lung sounds in a 76-year-old client with decompensated heart failure taking a diuretic

Monitoring blood pressure in an 86-year-old client with hypertension recently started on a new antihypertensive

Changing a dry dressing on a 78-year-old client with poor vision who had sustained a laceration on the lower leg

Answer and Explanation

The Correct Answer is D

A. Evaluating self-administration of insulin involves assessing a client's ability to manage their medication, which requires skilled nursing assessment and education.
B. Auscultating lung sounds is a skilled nursing task involving clinical assessment of respiratory status.
C. Monitoring blood pressure is a skilled nursing task that requires clinical assessment, especially when adjusting medications.
D. Changing a dry dressing is considered non-skilled care as it primarily involves routine care and does not require advanced clinical skills. This task is appropriate for a non-skilled caregiver.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

A. "You don't need to worry about the client as this is a normal sign of dying." This is not appropriate. While loss of appetite can be a normal part of the dying process, the family may need support and reassurance.
B. “This can often lead to a sense of peacefulness for the client.” This is appropriate. Refusal to eat can be a natural part of the end-of-life process, and it can help the client achieve comfort and a sense of peace.
C. "Let's try to plan a schedule for giving the client high-calorie liquids." This is not appropriate. Forcing or scheduling feeding can be counterproductive and may not align with the client's comfort or preferences at the end of life.
D. “I can get a prescription for a feeding tube if you think this would be okay with the client.” This is not appropriate. At the end of life, a feeding tube may not be in the client's best interest and may not contribute to their comfort. It is important to focus on palliative care rather than invasive interventions.

A. A general systems approach that considers the multiple components, such as socioeconomics, environmental and cultural aspects of community B. An experimental approach that considers the various community characteristics to compare individuals in different settings C. A long-term cohort approach that is used to document the health of a community over many years in terms of community characteristics D. A hierarchical approach that focuses on the ability of the population in the community to implement successful health promotion activities

Correct Answer is A

Explanation

A. "A general systems approach that considers the multiple components, such as socioeconomics, environmental and cultural aspects of community." This is correct. The social ecological model takes into account various levels of influence, including individual, interpersonal, community, and societal factors, to address health issues comprehensively.
B. "An experimental approach that considers the various community characteristics to compare individuals in different settings." This is incorrect. The social ecological model is not experimental; it is more focused on understanding the interplay between different levels of influence.
C. "A long-term cohort approach that is used to document the health of a community over many years in terms of community characteristics." This is incorrect. The social ecological model does not specifically involve long-term cohort studies but rather a multi-level approach to understanding health impacts.
D. "A hierarchical approach that focuses on the ability of the population in the community to implement successful health promotion activities." This is incorrect. The social ecological model does not follow a hierarchical approach but rather considers various levels of influence simultaneously.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A case management nurse is arranging discharges for several clients. Which of the following interventions would the nurse recognize as suitable for non-skilled care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The family of a client on home hospice care who is nearing the end of life tell the nurse that the client is refusing to eat. Which of the following statements would be appropriate for the nurse to make?

Correct Answer is B

Explanation

The nurse is discussing the social ecological model in planning community-based programs. Which of the following statements would the nurse identify as the approach that this model uses?

Correct Answer is A

Explanation

A nurse is discussing ethical issues associated with telehealth with a group of newly licensed nurses. Which of the following statements should the nurse discuss as an ethical concern related to telehealth?

According to the relapse prevention model, which of the following circumstances often precede a relapse? (Select all that apply)

A palliative care nurse is preparing to participate in interprofessional rounds. Which of the following members of the interprofessional team should the nurse plan to collaborate with?

Which nursing action best demonstrates cultural competence in end-of-life care?

The nurse is explaining to the family of a 78-year-old client with advanced cancer the criteria necessary for qualifying for hospice care. Which of the following criteria would the nurse indicate to the family as being a requirement to qualify for hospice care?

The nurse is assessing a terminally ill client who is on home hospice care and notes that the client is demonstrating signs of terminal delirium and becoming more unresponsive. Which of the following instructions should the nurse give to the client’s children?