A nurse is admitting a client who has a hip fracture from a recent fall at home. During the admission interview, the client's partner, who is frail, informs the nurse that they will be the client's caregiver upon discharge to home. Which of the following actions should the nurse take?

Inform the client's partner that they will be unable to care for the client

Consult case management

Obtain referral for occupational therapy services

Facilitate the client’s discharge to home

Answer and Explanation

The Correct Answer is B

A. Informing the partner they are unable to care for the client without further assessment and support is not appropriate.
B. Consulting case management is crucial to evaluate the home care situation, including the partner’s ability to provide care, and to arrange appropriate resources or support services.
C. Referring for occupational therapy is important for rehabilitation but does not address the overall home care planning or the partner’s capability to provide care.
D. Facilitating discharge to home without assessing the adequacy of home care arrangements could put the client at risk, so consulting case management is a more comprehensive approach.

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Correct Answer is D

Explanation

A. Quaternary prevention aims to avoid unnecessary interventions and harm, rather than focusing on early detection and treatment.
B. Tertiary prevention involves managing and reducing the impact of an existing condition, rather than early detection.
C. Primary prevention focuses on preventing the onset of disease by addressing risk factors before disease occurs.
D. Secondary prevention involves early detection and prompt treatment of diseases or conditions to prevent further progression, such as through screening and early intervention.

A. Discussing advance directives with the patient to ensure their wishes are documented B. Consulting with the patient's family about their preferences for funeral arrangements C. Encouraging the patient to participate in religious rituals and ceremonies important to their cultural beliefs D. Administering pain medication as prescribed to a terminally ill patient

Correct Answer is C

Explanation

A. While discussing advance directives is important for ensuring patient wishes are documented, it does not specifically address cultural competence in end-of-life care.
B. Consulting about funeral arrangements is important but focuses on post-death logistics rather than the patient’s current end-of-life care preferences.
C. Encouraging participation in religious rituals and ceremonies shows respect and support for the patient’s cultural beliefs, demonstrating cultural competence in providing holistic care.
D. Administering pain medication is a standard practice in end-of-life care and important for comfort but does not specifically address the cultural aspects of the patient’s care.

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A nurse is admitting a client who has a hip fracture from a recent fall at home. During the admission interview, the client's partner, who is frail, informs the nurse that they will be the client's caregiver upon discharge to home. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

Which level of prevention focuses on early detection and prompt treatment of a disease or condition to prevent further progression?

Correct Answer is D

Explanation

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

Correct Answer is C

Explanation

A primary care nurse is assessing a patient with advanced heart failure who is experiencing frequent hospitalizations and worsening symptoms despite optimal management. Which action by the nurse best demonstrates an understanding of recommending the patient for palliative care services?

A nurse is admitting a client who has a hip fracture from a recent fall at home. During the admission interview, the client's partner, who is frail, informs the nurse that they will be the client's caregiver upon discharge to home. Which of the following actions should the nurse take?

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