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 C
Explanation
Choice A rationale:
Collective bargaining is not a competency related to interprofessional collaboration. It pertains more to labor relations and negotiations with employee unions.
Choice B rationale:
Confrontation is generally not a positive competency in the context of interprofessional collaboration. It can lead to conflicts and hinder teamwork.
Choice D rationale:
Coercive power over other team members is not a competency that promotes collaboration. Collaboration should be based on mutual respect and communication rather than coercion. Interprofessional collaboration involves effective communication, teamwork, and a shared understanding of patient care goals. Therefore, choice C, which emphasizes the importance of communication in promoting openness in client care, is the most appropriate answer.
Correct Answer is B
Explanation
Choice A rationale:
The nurse should not inform the client of the need to pre-pay for the consent of authorization. Precertification for surgery is related to obtaining approval from the client's insurance provider and not about pre-payment.
Choice B rationale:
Contacting the client's insurance carrier to obtain authorization is the correct action to take when obtaining precertification for surgery. Many insurance companies require pre-authorization for surgical procedures to ensure coverage and to confirm that the procedure is medically necessary. This step is essential to prevent financial burdens on the client and ensure they have coverage for the surgery.
Choice C rationale:
Notifying the provider to obtain approval for the surgery is not the nurse's responsibility in the context of precertification. The primary responsibility lies with obtaining approval from the client's insurance carrier.
Choice D rationale:
Witnessing the client sign the surgical consent form is an essential step in the surgical preparation process but is not the same as obtaining precertification. Precertification involves confirming insurance coverage and approval for the surgery, which is the responsibility of the insurance carrier, not the client's consent.
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