A home health nurse is visiting a client who has colon cancer. The client states, "I do not want any further treatment." Which of the following actions should the nurse take?

Request a referral for a social worker.

Ask the client why they do not want to continue treatment.

Discuss the client's wishes with their provider.

Instruct the client that they need to change their advance directives first.

Answer and Explanation

The Correct Answer is C

Choice A reason: While involving a social worker can provide additional support, it is secondary to first communicating the client's treatment decisions to the primary healthcare provider.

Choice B reason: Understanding the client's reasoning is important; however, the priority is to respect their decision and communicate it to the provider.

Choice C reason: Respect for Autonomy: Clients have the right to make informed decisions about their healthcare, including the refusal of treatment. Effective Communication: By discussing the client's wishes with their healthcare provider, the nurse facilitates a collaborative approach to care planning, ensuring that the client's preferences are acknowledged and respected.

Choice D reason: Instructing the client to change their advance directives may be necessary if the client decides to refuse all treatments, but it is not the first action the nurse should take. Understanding the client's wishes should be the priority.

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Correct Answer is B

Explanation

Choice A reason:Tracking rates of illness caused by infection among employees would help in detecting biological hazards rather than physical ones. While important, it does not directly relate to the detection of physical hazards such as noise, radiation, or temperature extremes.

Choice B reason:Measuring noise levels is a direct method for detecting potential physical hazards in the workplace. Excessive noise can lead to hearing loss and other health issues, making it a critical physical hazard to identify and mitigate.

Choice C reason:Identifying industrial toxins deals with chemical hazards. While these are significant concerns within a work environment, they are not classified as physical hazards, which are related to energy and matter.

Choice D reason:Surveying workers about job-related emotional stress is useful for identifying psychosocial hazards. These are important but distinct from physical hazards, which are tangible and can be measured with instruments.

A. 11/15,000 B. 6/15,000 C. 11/11,000 D. 6/11,000

Correct Answer is A

Explanation

Choice A reason: This statement is true and relevant. The prevalence proportion is the number of existing cases of a disease divided by the total population at risk. In this case, the existing cases of diabetes mellitus are 11 (6 new cases plus 5 old cases), and the total population at risk is 15,000. Therefore, the prevalence proportion is 11/15,000, which can be simplified to 0.00073 or 0.073%.

Choice B reason: This statement is false and misleading. The prevalence proportion is not calculated by using only the new cases of a disease, but by using the total number of existing cases. Using only the new cases would result in an underestimation of the prevalence proportion.

Choice C reason: This statement is false and misleading. The prevalence proportion is not calculated by using the difference between the total population and the existing cases of a disease, but by using the total population at risk. Using the difference would result in an overestimation of the prevalence proportion.

Choice D reason: This statement is false and misleading. The prevalence proportion is not calculated by using both the difference between the total population and the existing cases of a disease and the new cases of a disease, but by using the total number of existing cases and the total population at risk. Using both the difference and the new cases would result in an incorrect calculation of the prevalence proportion.

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A home health nurse is visiting a client who has colon cancer. The client states, "I do not want any further treatment." Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

community health nurse notes that six new cases of diabetes mellitus have been reported in the past 3 months. In the previous year, five cases were reported. The population of the community is 15,000 people. Which of the following is the prevalence proportion for the community?

Correct Answer is A

Explanation

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