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 D
Explanation
Holistic nursing care is centered around the concept of viewing the client as a whole person, rather than just focusing on their physical symptoms or specific health issues. It considers all aspects of the client's being, including their physical, emotional, social, spiritual, and cultural dimensions.
A. Holistic nursing goes beyond just addressing physical symptoms or illnesses and focuses on promoting healing and wellness in all aspects of the client's life.
B. While collaboration among members of the nursing staff may be part of holistic nursing care, it does not fully capture the essence of what holistic nursing care entails.
C. Holistic nursing care does not necessarily mean that all clients receive the same treatments. Instead, it emphasizes individualized care that considers each client's unique circumstances, preferences, and goals.
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