A case manager in a rehabilitation facility is discussing discharge plans with a client who has a pressure injury and requires a special bed at home. Which of the following statements should the nurse make first?
"A social worker can help you with the cost of supplies."
"Describe the place where you are currently living."
"Eat a balanced diet with high-protein snacks."
"Apply moisture barrier ointment three times a day."
The Correct Answer is B
Before discussing specific aspects of the client's care, the nurse should assess the client's living environment to determine if it is suitable for the client's needs. In this case, the client requires a special bed to manage the pressure injury, so the nurse should assess if the client's current living environment can accommodate this need.
If the client's current living environment is not suitable, the nurse can work with the client and their family to identify alternatives, such as modifying the current environment or finding a new living arrangement. Once the nurse has assessed the living environment, they can proceed to discuss specific aspects of the client's care, such as accessing supplies, nutrition, and wound care.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Regular exercise is an essential component of health promotion for older adults. Exercise helps to maintain and improve physical function, mobility, and independence, reduces the risk of falls, and helps to prevent chronic conditions such as diabetes, cardiovascular disease, and osteoporosis. Exercise also has mental health benefits, such as reducing depression and anxiety.
Scheduling annual dental examinations for the clients (A) is important but is not the best health promotion strategy for older adults at an assisted living facility. While dental health is important, exercise is a more comprehensive strategy that addresses multiple aspects of health.
Providing the clients with a low-fat diet (B) is also important for health promotion, but it is not as effective as exercise in promoting physical and mental health.
Immunizing the clients against influenza (D) is important to prevent infection, but it is not a health promotion strategy that addresses overall health and wellbeing.
Correct Answer is D
Explanation
When educating a client about end-of-life directives, it is important for the nurse to provide accurate information to ensure the client's wishes are respected.
A living will is a legal document that outlines a person's wishes for medical treatment in the event they are unable to communicate their desires themselves. It is not a contract between the client and the provider, but rather a tool to guide medical decision-making.
A do-not-resuscitate order can be revoked by the client or their legal representative, but not by the client's family alone. In most states, the designation of a healthcare proxy must be done in writing and signed by the client.
It is not necessary for two nurses to witness the designation, although the client may choose to have witnesses present. Finally, the client can choose anyone they trust to be their designated power of attorney, regardless of whether they are a family member or not.
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