A nurse is assessing a client.
Which of the following factors should the nurse consider?
The client speaks another language.
The client has decreased vision but is wearing glasses.
The client has hearing loss, but hearing aids are functioning well.
The client’s culture.
The Correct Answer is D
Choice A rationale
The client speaking another language is an important factor to consider, but it is not the most comprehensive factor. Language barriers can affect communication and understanding, but they can be addressed with interpreters and translation services. Considering the client’s culture encompasses language and other cultural aspects that influence healthcare.
Choice B rationale
The client having decreased vision but wearing glasses is a specific factor related to sensory perception. While it is important to consider, it does not encompass the broader cultural context that can impact healthcare. Addressing vision issues is part of a comprehensive assessment, but culture provides a more holistic understanding.
Choice C rationale
The client having hearing loss but functioning hearing aids is another specific factor related to sensory perception. It is important to consider for effective communication, but it does not provide a comprehensive understanding of the client’s cultural background and its impact on healthcare.
Choice D rationale
The client’s culture is the most comprehensive factor to consider. Culture influences health beliefs, practices, communication styles, and decision-making. Understanding the client’s cultural background helps the nurse provide culturally competent care, build trust, and address any potential cultural barriers to healthcare.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While promoting employee engagement on social media platforms can be a benefit, it is not the primary purpose of a healthcare organization’s social media policy. The main goal is to ensure appropriate use of social media to protect patient privacy and maintain professional standards.
Choice B rationale
Restricting employees from using social media during work hours may be a component of the policy, but it is not the primary purpose. The policy aims to provide guidelines on how to use social media appropriately rather than simply restricting its use.
Choice C rationale
Encouraging employees to share confidential patient information online is a violation of HIPAA regulations and is not a purpose of a social media policy. The policy should ensure that patient information is kept private and secure.
Choice D rationale
Providing guidelines on appropriate social media use is the primary purpose of a healthcare organization’s social media policy. The policy outlines what constitutes acceptable behavior on social media to protect patient privacy, maintain professional standards, and ensure compliance with regulations.
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale
Placing all beds in the high position increases the risk of injury if a patient falls out of bed. It is generally recommended to keep beds in the lowest position to minimize the distance a patient would fall, thereby reducing the risk of injury.
Choice B rationale
Using color-coded wristbands is an effective way to quickly communicate a patient’s fall risk status to all healthcare providers. This visual cue helps ensure that all staff members are aware of the patient’s fall risk and can take appropriate precautions.
Choice C rationale
Conducting frequent rounds of patient rooms allows healthcare providers to regularly check on patients, address their needs, and identify any potential fall hazards. This proactive approach helps in preventing falls by ensuring that patients are safe and their environment is free of obstacles.
Choice D rationale
Providing non-skid socks helps prevent slips and falls by giving patients better traction when walking. These socks are especially useful for patients who may be unsteady on their feet or are at a higher risk of falling.
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