A nurse is preparing an older adult client for a physical examination the provider is about to perform. Which of the following actions should the nurse take?
Inform the client that the provider will examine sensitive areas first.
Make sure the room temperature is cool.
Explain to the client what is about to happen.
Provide music as an environmental distraction.
The Correct Answer is C
Explaining the examination process to the client helps reduce anxiety and uncertainty, especially for older adults who may be unfamiliar with the procedures or have concerns about the examination. Providing clear and concise explanations in a respectful manner allows the client to feel more informed and involved in their care, which can enhance their overall experience and cooperation during the examination.
A, Sensitive areas are preferably examined last
B, Examination should be done in relatively warm environment to ensure comfort for the client
D, Distracting the client can help alley anxiety but is not crucial unless the client requests so.
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Related Questions
Correct Answer is ["B","C"]
Explanation
This information is relevant to the client's condition and should be documented in the medical record. It provides important information about the client's physical status following the fall and may influence subsequent care decisions.
B. This information is typically documented in the incident report itself rather than the client's medical record. While it is important for the healthcare facility's records, it is not typically included in the client's medical record unless there are specific policies or procedures mandating such documentation.
C. This information is more relevant to administrative records and risk management procedures rather than the client's medical record.
D. This information is relevant to the client's care and should be documented in the medical record. It indicates that appropriate actions were taken following the incident.
Correct Answer is A
Explanation
Caring for diverse clients will require balancing differences and needs acknowledges the importance of recognizing and respecting cultural diversity among clients. Each individual may have unique cultural backgrounds, beliefs, values, and needs. The nurse must balance these differences effectively to provide care that is sensitive to each client's cultural context.
B. It assumes homogeneity among individuals within the same neighborhood, disregarding the reality of cultural diversity even within small geographic areas.
C. It suggests that all clients, regardless of cultural background, should receive the same standard of care.
D. It disregards the importance of considering clients' cultural diversity in developing the plan of care.
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