A nurse is teaching a female middle adult client about health screenings. Which of the following instructions should the nurse include in the teaching?

"You should get a dental assessment every 6 months."

You should get a tuberculosis screening every 5 years."

You should get a breast examination every 3 years."

"You should get a glaucoma screening every 4 years."

Answer and Explanation

The Correct Answer is A

A. "You should get a dental assessment every 6 months." This is correct. It is recommended that adults visit the dentist every 6 months for a check-up and cleaning to maintain oral health.
B. "You should get a tuberculosis screening every 5 years." Routine tuberculosis screening every 5 years is not typically recommended for middle adults unless they are at high risk for TB exposure.
C. "You should get a breast examination every 3 years." Clinical breast exams are recommended every 3 years for women in their 20s and 30s and annually for women aged 40 and older, not for middle-aged adults specifically.
D. "You should get a glaucoma screening every 4 years." Glaucoma screening frequency can vary, but it is often recommended that adults have their eyes checked every 2 to 4 years starting at age 40, with more frequent screenings as they age.

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Correct Answer is A

Explanation

A. Date of client's admission to the facility The background step includes relevant information such as the admission date, diagnosis, and medical history.
B. Summary of a change in the client's condition This information belongs in the assessment or situation step.
C. Brief explanation of the client's current condition This information belongs in the assessment step.
D. Request for provider to consult physical therapy This information belongs in the recommendation step.

A. Assist the client to make autonomous decisions about his treatment options. B. Reflect on her own opinion about withholding the diagnosis from him. C. Inform the family that he has a legal right to be informed of his diagnosis. D. Determine the family's reasons for not telling him about his diagnosis.

Correct Answer is D

Explanation

A. Assist the client to make autonomous decisions about his treatment options. Assisting the client to make autonomous decisions is important, but it cannot be done effectively until the client is aware of his diagnosis. This action would follow once the client is informed.
B. Reflect on her own opinion about withholding the diagnosis from him. Reflecting on her own opinion can help the nurse understand her biases but does not directly address the family's request or the client's immediate needs.
C. Inform the family that he has a legal right to be informed of his diagnosis. Informing the family about the client's legal right is essential, but first, the nurse should understand the family's perspective and concerns.
D. Determine the family's reasons for not telling him about his diagnosis. This is correct. Understanding the family's reasons provides context and helps the nurse address their concerns appropriately while advocating for the client’s right to know his diagnosis.

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A nurse is teaching a female middle adult client about health screenings. Which of the following instructions should the nurse include in the teaching?

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