A home health nurse is visiting a client who is recovering from a stroke. The client's adult child has taken on the role of caregiver. Which of the following statements indicates they are adapting to their role change?
"I will need financial assistance if I don't get back to my job soon."
"I have a neighbor coming over so I can go get my hair cut and styled."
"I apologize for the dishes piling up in the kitchen sink."
"I am still trying to rearrange the furniture so they can use their walker."
The Correct Answer is B
Choice A reason: This statement reflects concern about personal finances rather than adaptation to the caregiving role. It indicates stress related to balancing work and caregiving responsibilities.
Choice B reason: Arranging for a neighbor to come over demonstrates proactive planning and the ability to delegate responsibilities, which are important aspects of adapting to a caregiving role.
Choice C reason: Apologizing for untidiness may indicate feeling overwhelmed, which can be a sign of difficulty in adjusting to the new responsibilities of caregiving.
Choice D reason: Trying to rearrange the furniture for walker use shows consideration for the client's needs but also suggests ongoing challenges with adapting the living environment for care.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Using third person can make the content less personal and engaging. Health literacy involves clear communication that resonates with the audience, which often means using a more direct and personal approach.
Choice B reason: Focusing solely on medical facts may not meet health literacy needs if the information does not translate into actionable behaviors for the audience. It's important to connect facts with actions people can take.
Choice C reason: Ensuring content is written at an 8th-grade reading level is a recognized standard for health literacy. It makes the information accessible to a wider audience, including those with varying levels of education.
Choice D reason: While using a 16-point font may improve readability, especially for those with visual impairments, it does not address the complexity of the language or the content's relevance to the audience's needs.
Correct Answer is A
Explanation
Choice A reason: The child has recent onset of urinary incontinence is a possible sign of maltreatment, as it may indicate sexual abuse, emotional trauma, or neglect. The school nurse should report this finding to the child protective services and follow up with the child and the family¹².
Choice B reason: The child receives free lunches at school is not a sign of maltreatment, but rather a socioeconomic indicator. The school nurse should not assume that the child is maltreated based on this factor alone, but rather assess the child for other signs and symptoms of abuse or neglect³.
Choice C reason: The child has bruises on both knees is not a sign of maltreatment, but rather a common injury among children who are active and playful. The school nurse should not report this finding unless there are other suspicious circumstances, such as inconsistent explanations, unusual locations, or patterns of bruises⁴.
Choice D reason: The child reports having a toothache is not a sign of maltreatment, but rather a health issue that may require dental care. The school nurse should not report this finding unless there are other signs of neglect, such as poor oral hygiene, lack of access to health care, or failure to follow up on referrals⁵.
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