Exhibits
Complete the following sentence by using the list of options.
Mrs. Thompson is at high risk for developing
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"C"}
Mrs. Thompson is at high risk for developing pressure sores evidenced by the client's end-of-life stage and deteriorating condition.
Emotional distress. While emotional distress is common in end-of-life patients, Mrs. Thompson has already expressed her wishes for a peaceful, pain-free death and has family support for decision-making. Emotional distress is not the primary risk factor for physical complications such as pressure sores.
Dehydration. Decreased oral intake is expected in the end-of-life stage, but dehydration does not directly cause pressure sores. While maintaining comfort is important, forced hydration is often avoided as it may not improve the patient’s quality of life.
Pressure sores. Mrs. Thompson’s declining condition and decreased mobility put her at high risk for developing pressure sores. Limited movement reduces circulation to pressure points such as the heels and sacrum, leading to tissue breakdown. Preventive measures such as repositioning and skin care should be prioritized.
Frequent movement and activity. This is incorrect because frequent movement reduces the risk of pressure sores by promoting circulation and relieving pressure on bony areas. Mrs. Thompson's deteriorating condition likely limits her mobility, making this choice inappropriate.
Ability to communicate their needs. This is incorrect because even if a patient can verbalize discomfort, they may still be unable to move independently. Pressure sores develop primarily due to immobility rather than communication barriers.
End-of-life stage and deteriorating condition. This is correct because patients nearing the end of life experience profound weakness, reduced circulation, and prolonged immobility, all of which increase the risk of pressure sores. These factors make skin breakdown prevention a key nursing priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "The wellness-illness continuum focuses on a person's ability to stay completely well without any variations in health status." This is incorrect because health is dynamic and constantly fluctuates. People move along the continuum based on factors such as lifestyle, environment, and medical conditions.
B. "The wellness-illness continuum is a model that shows a person's health moving between complete wellness and complete illness in a linear fashion." While the continuum represents movement between wellness and illness, health is not strictly linear. It is influenced by multiple factors, including chronic conditions, acute illnesses, and psychological well-being, which can shift unpredictably.
C. "The wellness-illness continuum is used to categorize individuals into distinct health categories, such as healthy or sick." This is incorrect because the model does not classify people into rigid categories. Instead, it acknowledges that health exists on a spectrum, and individuals may shift between different states of well-being.
D. "The continuum recognizes that health is multidimensional and includes physical, mental, and social well-being." This is correct because the wellness-illness continuum accounts for multiple aspects of health, emphasizing that well-being is influenced by physical health, mental state, social interactions, and overall quality of life.
Correct Answer is B
Explanation
A. "Cultural competence requires that nurses adopt the cultural practices of their clients to provide the best care." Nurses do not need to adopt a client's cultural practices personally. Instead, they should respect, understand, and incorporate culturally appropriate care strategies while maintaining professional boundaries.
B. "Cultural competence involves understanding and respecting diverse cultural backgrounds and incorporating this understanding into client care to improve outcomes and client satisfaction." This statement accurately describes cultural competence, which requires nurses to recognize and respect cultural differences, avoid biases, and adapt care to meet the unique needs of each client.
C. "Cultural competence is only necessary when caring for clients from cultures that are significantly different from one's own." Cultural competence applies to all clients, regardless of how similar or different their culture is from the nurse's. Every client has unique cultural beliefs and values that can influence healthcare decisions.
D. "Cultural competence means that healthcare providers must follow a standardized approach to care that applies to all clients, regardless of their cultural background." A standardized approach does not account for individual cultural differences. Instead, culturally competent care requires flexibility and adaptation to meet the needs of diverse populations.
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