A primary care office nurse is assessing clients for suitability for a telehealth visit. Which client would the nurse prioritize for a telehealth appointment?

A 35-year-old patient with stable chronic hypertension and no recent medication changes

A 25-year-old patient with acute respiratory symptoms and a history of asthma, seeking medication adjustment

A 45-year-old patient recovering from surgery, needing wound assessment and dressing changes

A 70-year-old patient with a history of congestive heart failure, recently discharged from an acute care facility

Answer and Explanation

The Correct Answer is B

A. A patient with stable chronic hypertension and no recent medication changes may not require immediate telehealth intervention, as their condition is stable.
B. A patient with acute respiratory symptoms and a history of asthma, who is seeking medication adjustment, would benefit from telehealth to address urgent symptoms and adjust treatment promptly.
C. A patient recovering from surgery and needing wound assessment and dressing changes would likely require an in-person visit for accurate assessment and care.
D. A patient recently discharged with a history of congestive heart failure may need in-person follow-up to ensure proper monitoring and management.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

A. "Why is it important for me to do this?" is not one of the "Ask Me 3" questions, which focus on understanding the main problem, necessary actions, and medications. This question indicates a misunderstanding of the concept.
B. "What is my main problem?" is a core component of the "Ask Me 3" questions, which aim to clarify the primary issue for the client.
C. "What medications do I need to take?" is also a part of the "Ask Me 3" questions, focusing on understanding medication needs.
D. "What do I need to do?" is another essential question in the "Ask Me 3" concept, helping clients understand the actions they need to take.

A. Discussing advance directives with the patient to ensure their wishes are documented B. Consulting with the patient's family about their preferences for funeral arrangements C. Encouraging the patient to participate in religious rituals and ceremonies important to their cultural beliefs D. Administering pain medication as prescribed to a terminally ill patient

Correct Answer is C

Explanation

A. While discussing advance directives is important for ensuring patient wishes are documented, it does not specifically address cultural competence in end-of-life care.
B. Consulting about funeral arrangements is important but focuses on post-death logistics rather than the patient’s current end-of-life care preferences.
C. Encouraging participation in religious rituals and ceremonies shows respect and support for the patient’s cultural beliefs, demonstrating cultural competence in providing holistic care.
D. Administering pain medication is a standard practice in end-of-life care and important for comfort but does not specifically address the cultural aspects of the patient’s care.

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A primary care office nurse is assessing clients for suitability for a telehealth visit. Which client would the nurse prioritize for a telehealth appointment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a group of community health nurses about the practice to use when teaching clients about the "Ask Me 3" questions concept. Which question, if stated by the group as part of this concept, would indicate that the group needed additional instruction?

Correct Answer is A

Explanation

Which nursing action best demonstrates cultural competence in end-of-life care?

Correct Answer is C

Explanation

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When teaching a group of new community health nurses, what would the instructor identify as the primary goals of community nursing? (Select all that apply)

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