A nurse is caring for a client who has end-stage liver disease and states, "I am aware of the dangers of continuing to drink, but I am choosing not to stop." Which of the following actions should the nurse take to act as a client advocate?

Inform the client that they are better off without medical care if they continue to drink

Report the client's refusal to comply to the charge nurse and end the discussion.

Accept the client's decision and offer to be a resource if the client changes their mind.

Ask the client's family to remove alcohol from the client's home.

Answer and Explanation

The Correct Answer is C

As a client advocate, the nurse's role is to respect the client's autonomy and right to make their own decisions about their health, even if those decisions may not align with medical advice. This approach maintains a therapeutic relationship and respects the client's autonomy while still offering support and resources.

A. is coercive and not respectful of the client's autonomy.

B. involves reporting the client's refusal to comply, which does not respect the client's right to make their own decisions.

D. involves involving the client's family without the client's consent, which undermines the client's autonomy and privacy.

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Correct Answer is D

Explanation

Secondary prevention involves detecting and treating a disease or condition in its early stages to prevent complications. In the context of suspected COVID-19 (caused by SARS-CoV-2), testing the child to determine the cause of their illness is a key step in secondary prevention. By identifying cases early through testing, appropriate measures can be taken to prevent further spread of the virus, such as isolation and contact tracing.

A. Notify your health care provider if you notice a rash. B. Wear long-sleeved shirts and pants while outdoors. C. Check your clothing and body for ticks after being outdoors. D. Use EPA-registered insect repellants.

Correct Answer is A

Explanation

Secondary prevention involves early detection and intervention to prevent the progression of a disease and minimize its impact. Early detection of the rash can lead to prompt diagnosis and treatment with antibiotics, which can prevent the progression of Lyme disease and the development of more severe symptoms.

B, C, and D are examples of primary prevention strategies aimed at reducing the risk of contracting Lyme disease in the first place, rather than detecting and managing it after infection has occurred.

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A nurse is caring for a client who has end-stage liver disease and states, "I am aware of the dangers of continuing to drink, but I am choosing not to stop." Which of the following actions should the nurse take to act as a client advocate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A school nurse receives a telephone call from a parent who suspects their school-age child may have coronavirus-2 (SARS-COV-2). Which of the following instructions should the nurse give as secondary prevention?

Correct Answer is D

Explanation

A community health nurse is preparing a public service announcement about Lyme disease. Which of the following strategies should the nurse include as an example of secondary prevention?

Correct Answer is A

Explanation

A nurse is completing a follow-up family home visit and discovers that the care plan developed at the last visit was not followed. Which of the following actions should the nurse take first?

A nurse is caring for a client who has end-stage liver disease and states, "I am aware of the dangers of continuing to drink, but I am choosing not to stop." Which of the following actions should the nurse take to act as a client advocate?

A nurse is assessing a 2-month-old infant at a well-child visit. The guardian tells the nurse that they would like to postpone vaccinations until the child is older and can tolerate them better. Which of the following responses by the nurse would be appropriate?

A nurse is collecting data from a client and their full-time caregiver who is their adult child. The caregiver appears to be disheveled and irritable. Which of the following should the nurse identify as a caregiver concern to address?

A home health nurse is interviewing a client and asks the client, "Have you or your family been exposed to any chemical liquids, fumes, lead, or unusual smells?" Which type of assessment is the nurse conducting?

A nurse is working with a family. Which of the following processes should the nurse identify as the family demonstrating resilience during time of crisis?

A school nurse is preparing a lesson for a high school health class about the prevention of sexually transmitted infections (STIS). Which of the following interventions should the nurse include that aims to block transmission of STIS at the portal of exit?

A community health nurse is providing teaching to a group of adults preparing for a trip to Zambia, where malaria is endemic. Which of the following statements by a group member indicates an understanding of the environmental element of the epidemiologic triangle?