A patient with diabetes and hypothyroidism is being admitted to an assisted living facility. During the admission assessment, the patient reports difficulty falling asleep. The nurse shows an understanding of sleep dysfunction and the older patient when asking:

"How do you feel about leaving your home to live here?"

"Are you taking medication for your thyroid problem?"

"Have you ever been prescribed a sleeping medication?"

"How long have you been a diabetic?"

Answer and Explanation

The Correct Answer is C

A.   This question addresses the emotional and psychological impact of relocating to an assisted living facility. Emotional stress and adjustment issues can affect sleep patterns. While important for understanding the patient's emotional state and potential stressors, this question may not directly address the specific physiological or medical causes of sleep difficulties.
B.   This question focuses on the management of hypothyroidism, which can influence sleep patterns. Hypothyroidism and its treatment can affect energy levels and sleep quality. Medications for hypothyroidism could impact sleep if they are not well managed or if the dosage needs adjustment. However, this question alone might not cover other potential causes of sleep difficulties.
C.   This question aims to identify if the patient has a history of using sleeping medications, which can help in understanding their sleep patterns and possible reliance on such treatments. Knowing whether the patient has used sleeping medications can provide insight into their current sleep issues and help the nurse assess if previous treatments have been effective or if adjustments are needed. This question is directly related to assessing and addressing sleep difficulties.
D.   This question gathers information about the duration of diabetes, which can help in understanding the patient’s overall management of the condition. While the duration of diabetes is important for overall health management, it does not directly address the sleep issues the patient is experiencing. Diabetes can affect sleep, but this question does not specifically target the sleep problem.

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Correct Answer is A

Explanation

A. When a patient is required to sign official documents, such as medical consent forms or advance directives, it is crucial that they understand the implications of their decisions. An interpreter can ensure that the patient fully comprehends the information and can make informed choices about their care.
B. While an interpreter can be helpful for orientation, it is not as critical as when the patient is signing official documents.
C. An interpreter can facilitate communication between the patient and the physician, ensuring that the patient's concerns and questions are fully understood. However, this is not as critical as when the patient is making important decisions about their care.
D. While it is important to provide emotional support to a patient who is upset, an interpreter may not be necessary in this situation. The nurse can use nonverbal communication and other strategies to comfort the patient and address their emotional needs.

A. Asking the patient to give more details regarding this belief B. Researching the patients proposed dietary beliefs C. Discussing how to add dietary preferences Into the treatment plan D. Offering to have a registered nutritionist discuss the situation with the patient

Correct Answer is C

Explanation

A. This action demonstrates a willingness to understand and respect the patient’s cultural beliefs. By asking for more details, the nurse shows interest in the patient's perspective and opens a dialogue to better understand the cultural context of their health beliefs.
B. This action involves the nurse taking the initiative to understand the cultural practices and dietary beliefs of the patient. By researching these beliefs, the nurse can gain insight into how the patient's culture views dietary management and how it might be integrated into their overall care. However, while researching is valuable, it does not directly engage with the patient’s beliefs or preferences in a clinical context.
C. By discussing how to incorporate the patient’s dietary preferences into their treatment plan, the nurse is showing respect for the patient's cultural beliefs while still working within the medical framework. This approach helps to integrate the patient’s cultural practices with conventional medical treatment, fostering a collaborative approach to care.
D. This action is also a good example of cultural accommodation. By involving a registered nutritionist, the nurse is providing the patient with professional guidance that aligns with their cultural beliefs about dietary management. This approach respects the patient’s preferences and provides expert advice on how to incorporate those preferences into a medically sound treatment plan.

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A patient with diabetes and hypothyroidism is being admitted to an assisted living facility. During the admission assessment, the patient reports difficulty falling asleep. The nurse shows an understanding of sleep dysfunction and the older patient when asking:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse in an assisted living facility is preparing to admit an older adult patient who speaks very little English. The nurse decides that it is most Important that an Interpreter be present when the patient:

Correct Answer is A

Explanation

A Hispanic patient explains that the Hispanic culture believes that dietary management would be just as effective in managing her problems as medication, so the patients prescription has not been filled. Which action by the nurse illustrates cultural accommodation?

Correct Answer is C

Explanation

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