A parish nurse is counseling a family following a client's recent diagnosis of heart disease. Which of the following actions should the nurse take first?
Ask family members about the impact of the disease on relationships within the family.
Offer to accompany the client and the client's partner during health care provider visits.
Assist the client and the client's partner with finding an affordable exercise program.
Discuss the benefits of eating a well-balanced diet with the client's family.
The Correct Answer is A
Explanation: The first action the parish nurse should take is to ask family members about the impact of the disease on relationships within the family. A diagnosis of heart disease can affect the client and the client's family emotionally, physically, and financially. By assessing the family's understanding of the disease, the nurse can identify their needs, concerns, and coping strategies. The nurse can also provide emotional support, education, and resources to help the family manage the disease and improve their quality of life. Offering to accompany the client and the client's partner during health care provider visits, assisting the client and the client's partner with finding an affordable exercise program, and discussing the benefits of eating a well-balanced diet with the client's family are appropriate actions that the nurse can take. However, these actions are not the priority until the nurse has assessed the family's understanding and need
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
Cultural variances in the expression of pain can impact the assessment and management of pain. It is important to recognize and respect these cultural differences to provide culturally sensitive care. Puerto Rican cultural practices consider the expression of pain as a private matter, and individuals may not express their pain openly, as it may be viewed as a weakness or shameful. In contrast, Native American cultural practices often consider pain as a sign of strength, and individuals may express pain openly to receive validation and support from their community. Chinese cultural practices emphasize the importance of stoicism, and individuals may endure pain to prevent family dishonor. Middle Eastern cultural practices may consider pain as a test of faith, and individuals may hide their pain from close family members to avoid burdening them. By understanding these cultural variances, nurses can assess pain more effectively and develop culturally sensitive pain management plans.
Correct Answer is B
Explanation
A school nurse caring for a child with muscular dystrophy who is having difficulty swallowing at lunch should initiate a referral to a speech-language therapist. Swallowing difficulties, or dysphagia, can lead to aspiration and respiratory complications. Speech-language therapists specialize in the evaluation and treatment of dysphagia. Occupational therapists may also work with clients who have dysphagia to help with positioning and adaptive equipment, but their primary focus is on activities of daily living. Dietitians may be consulted for nutritional support, but they are not trained to evaluate or treat dysphagia. Respiratory therapists may be involved in the care of clients with dysphagia who have respiratory complications, but they are not the primary referral for this issue.
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