A nurse is speaking with several clients at a health fair. Which of the following statements should the nurse assess further?
"I have to change my hearing aid battery weekly."
"I have to turn my head completely to see things that are beside me."
"I prepare my medications for the week on Sundays."
"I prepare all of my own meals."
The Correct Answer is B
The correct answer is Choice B because, "I have to turn my head completely to see things that are beside me." This statement suggests the possibility of impaired peripheral vision, which could be a safety concern. The nurse should assess further and possibly refer the client for further evaluation.
Choice A is wrong because, "I have to change my hearing aid battery weekly," is not the correct answer as it is a routine self-care task for individuals with hearing aids. Choice C is wrong because, "I prepare my medications for the week on Sundays," is not the correct answer as it is a routine self-care task for individuals who take multiple medications. Choice D is wrong because, "I prepare all of my own meals," is not the correct answer as it is a routine selfcare task for many individuals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is Choice A because, "Organize an influenza immunization clinic with the American Red Cross." The parish nurse group should plan to provide influenza immunization clinics to help prevent the spread of influenza in the congregation. Influenza is a contagious respiratory illness that can be spread by coughing, sneezing, and touching contaminated surfaces. This answer is correct because immunization clinics will help prevent influenza, which is a primary and secondary health care need for the congregation.
Choice B is wrong because is incorrect because providing end-of-life care is not a primary or secondary health care need for the congregation, and the parish nurse group is not qualified to provide this level of care.
Choice C is wrong because is incorrect because performing wound care in the home of members is not a primary or secondary health care need for the congregation.
Choice D is wrong because is incorrect because facilitating discharge from the facility to the home is not a primary or secondary health care need for the congregation.
Correct Answer is D
Explanation
The correct answer is Choice D because, "State health departments report selected STIs to the National Institutes of Health." This statement indicates an understanding of the regulation regarding STI reporting, as state health departments are responsible for reporting selected STIs to the National Institutes of Health.
Choice A is wrong because, "Clients who have STIs are legally required to provide a list of sexual partners," is not correct. While it is important for clients to provide information about their sexual partners to prevent further spread of STIs, it is not a legal requirement.
Choice B is wrong because, "Congress mandates the requirements for STI reporting," is not correct. Congress does not mandate the requirements for STI reporting. It is the responsibility of state health departments to report selected STIs to the National Institutes of Health.
Choice C is wrong because, "Nurses should withhold the name of the client who has an STI during partner notification," is not correct. Nurses should not withhold the name of the client who has an STI during partner notification, as this is an important step in preventing the further spread of STIs.
Explanation: State health departments are responsible for reporting selected STIs to the National Institutes of Health. Clients are not legally required to provide a list of sexual partners, and Congress does not mandate the requirements for STI reporting. Nurses should not withhold the name of the client who has an STI during partner notification.
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