A nurse is developing a care plan for Mrs. Thompson who is in the end-of-life stage. After assessing the client, the nurse has identified several potential problems. Which of the following hypotheses should the nurse prioritize when planning care for this client?

The client may benefit from additional laboratory tests to monitor disease progression.

The client may experience pain and discomfort due to the progression of their illness.

The client may need increased physical therapy sessions to maintain mobility.

The client may have elevated blood pressure due to an acute exacerbation of their condition.

Answer and Explanation

The Correct Answer is B

A. Additional laboratory tests: While monitoring is essential, at this stage, the priority is comfort, not disease progression.

B. Pain and discomfort: Mrs. Thompson is nearing the end of life and likely experiencing pain due to her advanced metastatic cancer. Pain management should always be a priority in palliative care.

C. Physical therapy: Physical therapy is not typically a priority in the end-of-life stage where the focus is on comfort rather than mobility.

D. Elevated blood pressure: This is unlikely to be the primary concern at this stage. Blood pressure is usually low, and interventions should be focused on comfort and symptom relief.

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Correct Answer is A

Explanation

A. Insomnia: Physical manifestations of grief often include insomnia, fatigue, appetite changes, headaches, and muscle tension due to the emotional and psychological stress of loss.

B. Bradycardia: Bradycardia is not a common physical manifestation of grief. Increased stress may more commonly cause tachycardia.

C. Blurred vision: While stress-related symptoms can occur, blurred vision is not typically associated with grief.

D. Increased ability to concentrate: Grief often reduces the ability to concentrate, not increases it.

A. Designing and delivering educational sessions on healthy lifestyle choices and preventive measures to the community. B. Focusing solely on treating acute health issues as they arise within the community. C. Providing one-on-one medical treatment for community members who are currently experiencing chronic disease symptoms. D. Conducting individual health screenings and providing personalized counselling for each participant.

Correct Answer is A

Explanation

A. Designing and delivering educational sessions on healthy lifestyle choices and preventive measures to the community. This reflects the nurse's role in promoting health and preventing disease on a community-wide level.

B. Focusing solely on treating acute health issues as they arise within the community. Addressing acute issues is reactive and does not promote long-term health improvement.

C. Providing one-on-one medical treatment for community members who are currently experiencing chronic disease symptoms. While valuable, this action focuses on individuals rather than addressing community-wide prevention.

D. Conducting individual health screenings and providing personalized counseling for each participant. Screenings and counseling are important but do not reflect broader community-level education efforts.

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A nurse is developing a care plan for Mrs. Thompson who is in the end-of-life stage. After assessing the client, the nurse has identified several potential problems. Which of the following hypotheses should the nurse prioritize when planning care for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a class about the physical manifestations of grief. Which of the following manifestations should the nurse include?

Correct Answer is A

Explanation

A community health nurse is planning an educational program for a local community on the prevention of chronic diseases. Which of the following actions best reflects the nurse's role in promoting community health?

Correct Answer is A

Explanation

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