A nurse is caring for a client who is at the end of life.
Which of the following interventions is most effective in reducing the client's social isolation?
Encourage family members to call the client.
Schedule home visits with the client.
Instruct the client to join an online support group.
Ask the client's friends to text the client.
The Correct Answer is B
Choice A rationale:
Encouraging family members to call the client is a valuable emotional and social support, but it may not be as effective in reducing social isolation for a client at the end of life. While communication with loved ones is important, it may not fully address the client's need for personal interaction.
Choice C rationale:
Instructing the client to join an online support group can be a useful intervention to reduce social isolation, especially in cases where physical interaction is limited. However, it may not be as effective for all clients, as comfort with technology and online groups can vary. Additionally, it should be one of several strategies used to address social isolation.
Choice D rationale:
Asking the client's friends to text the client is a positive gesture, but it may not be as effective as scheduling home visits with the client. Text messages may not provide the same level of personal interaction and emotional support that physical visits can offer.
Choice B rationale:
Scheduling home visits with the client is the most effective intervention to reduce social isolation in a client at the end of life. It allows for in-person interaction, emotional support, and the opportunity to address the client's physical and emotional needs directly. Face-to-face contact can significantly improve the client's sense of connectedness and reduce feelings of isolation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Including a note in the medical record that an incident report was completed is a crucial step in documenting the event. It serves as a legal and organizational record of the incident, providing transparency and accountability. This information can be essential for tracking trends, identifying areas for improvement, and ensuring patient safety.
Choice B rationale:
Identifying other people involved with the event in the incident report is also an important step. It helps in determining who was present or responsible during the incident, which can be crucial in investigating the event and identifying potential areas for process improvement.
Choice C rationale:
Including personal opinions regarding an event in an incident report is not advisable. Incident reports should focus on factual, objective information. Personal opinions can introduce bias and subjectivity, which may not be helpful in addressing the root causes of the incident or improving the quality of care.
Choice D rationale:
Identifying the person responsible for the error in the incident report is a valid step, as it helps in assigning accountability and addressing any systemic issues that may have contributed to the error. However, it's essential to do so without assigning blame or making judgments. The emphasis should be on improving processes and preventing similar incidents in the future.
Correct Answer is B
Explanation
The correct answer is Choice B: A client who has a family history of breast cancer is scheduled for a mammogram.
Choice A rationale:
Receiving an influenza vaccination is an example of primary prevention, which aims to prevent the onset of disease.
Choice B rationale:
Scheduling a mammogram for a client with a family history of breast cancer is an example of secondary prevention. Secondary prevention involves the early detection and treatment of disease to reduce the impact of the disease. Mammograms help in the early detection of breast cancer, which can significantly improve treatment outcomes.
Choice C rationale:
Not scheduling tests for an asymptomatic client does not relate to secondary prevention. Secondary prevention involves screening and early detection of diseases in at-risk populations.
Choice D rationale:
Scheduling an echocardiogram for a client with heart failure is an example of tertiary prevention. Tertiary prevention aims to reduce the impact of an ongoing illness or injury that has lasting effects by helping patients manage long-term, complex health problems.
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