A community health nurse is conducting a home visit to assess an adult client with a chronic illness. Which of the following actions should the nurse prioritize to effectively evaluate the client's management of their chronic condition?
Assess the client's ability to perform activities of daily living (ADLs) and their impact on the client's overall health.
Review the client's current medication list and check for any missed doses.
Focus on the client's most recent laboratory results and compare them to past results.
Conduct a detailed family history to identify any genetic predispositions to the chronic illness.
The Correct Answer is A
A. Assess the client's ability to perform activities of daily living (ADLs) and their impact on the client's overall health. ADL assessment provides crucial information about how well the client is managing their chronic illness and maintaining functional independence.
B. Review the client's current medication list and check for any missed doses. While this is important, it is a secondary concern compared to assessing functional status, which has a broader impact on health outcomes.
C. Focus on the client's most recent laboratory results and compare them to past results. Lab results are valuable but do not provide a comprehensive view of how the illness affects the client's daily life.
D. Conduct a detailed family history to identify any genetic predispositions to the chronic illness. Genetic predispositions are relevant for diagnosis and prevention but do not evaluate current management of the condition.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Screening for blood sugar levels. Secondary prevention focuses on early detection of diseases to initiate timely interventions and prevent complications. Blood sugar screening identifies individuals with prediabetes or undiagnosed diabetes.
B. Demonstrating a 15-minute exercise routine: This is a primary prevention activity aimed at reducing risk factors before the disease develops.
C. Educating about stress management strategies: Stress management education is a primary prevention strategy focused on preventing risk factors associated with diabetes.
D. Providing a cooking lesson using sugar alternatives: This is primary prevention, promoting healthy habits to prevent diabetes rather than detecting it early.
Correct Answer is A
Explanation
A. Insomnia: Physical manifestations of grief often include insomnia, fatigue, appetite changes, headaches, and muscle tension due to the emotional and psychological stress of loss.
B. Bradycardia: Bradycardia is not a common physical manifestation of grief. Increased stress may more commonly cause tachycardia.
C. Blurred vision: While stress-related symptoms can occur, blurred vision is not typically associated with grief.
D. Increased ability to concentrate: Grief often reduces the ability to concentrate, not increases it.
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