Exhibits

Complete the following sentence by using the list of options.

Mrs. Thompson is at high risk for developing
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evidenced by the client's
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Answer and Explanation

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.

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Correct Answer is ["A","D","E"]

Explanation

A. Use pictures. Visual aids enhance comprehension, especially for clients with limited English proficiency. Pictures, diagrams, and illustrations help convey important information when language barriers exist.
B. Use materials written at a twelfth-grade level. This is inappropriate because most health education materials should be written at a fifth- to sixth-grade reading level to ensure accessibility. Higher reading levels may be too complex for many clients, particularly those with limited health literacy.
C. Provide a variety of educational materials. While multiple formats (e.g., videos, pamphlets) can be helpful, simply offering a variety does not ensure comprehension. The materials must be tailored to the client’s language and literacy level.
D. Choose materials that include culturally relevant information and examples. Cultural relevance improves engagement and understanding. Materials should reflect the client’s cultural background, beliefs, and values to make the information more meaningful.
E. Use materials written in the client's spoken language. Providing materials in the client’s primary language ensures better understanding. When possible, professional medical interpreters should also be used to clarify any uncertainties.

A. Encourage the families expression of their feelings B. Explore effective ways of family coping C. Instruct the family about anticipatory grieving D. Discuss the disease and its manifestations with family members

Correct Answer is A

Explanation

A. Encourage the family's expression of their feelings. The father’s statement reflects emotional shock and denial, which are common initial reactions to devastating news. Encouraging the family to express their emotions helps them begin processing their grief and provides emotional support during a difficult time. Active listening and validating their feelings are essential first steps in therapeutic communication.
B. Explore effective ways of family coping. Assessing how the family copes with stress is important, but it is not the immediate priority when the father is in emotional distress. Before discussing coping strategies, the nurse should first provide a safe space for emotional expression.
C. Instruct the family about anticipatory grieving. While anticipatory grieving education is important, the father is still in the early stages of shock and numbness. Addressing grief education too soon may feel overwhelming. The nurse should first focus on emotional support.
D. Discuss the disease and its manifestations with family members. Providing information about the disease is important for understanding what to expect, but at this moment, the father is struggling with his emotions. Education should be provided gradually, once the family is emotionally ready to process medical information.

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Exhibits Complete the following sentence by using the list of options. Mrs. Thompson is at high risk for developing dropdownevidenced by the client'sdropdown

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing a teaching plan for a client who speaks limited English and is scheduled for a surgical procedure. Which of the following guidelines should the nurse plan to use when selecting written educational materials for the client? (Select all that apply.)

Correct Answer is ["A","D","E"]

Explanation

The nurse is caring for a child who has a diagnosis of metastatic brain cancer. The father states "I can't believe this is happening to us, I feel numb." Which of the following nursing interventions by the nurse is the first priority?

Correct Answer is A

Explanation

The nurse is reviewing strategies to address health disparities in a community setting in alignment with Healthy People 2030 objectives. Which of the following actions by the nurse best demonstrates the application of Healthy People 2030 goals to reduce health disparities?

A nurse is teaching a class about the physical manifestations of grief. Which of the following manifestations should the nurse include?

A nurse is assessing a client who reports acute pain. The nurse should anticipate which of the following findings?

Exhibits The nurse is evaluating the effectiveness of pain interventions for Mrs. Thompson who is unconscious and at the end of life. Which of the following methods is the most appropriate for assessing pain management effectiveness in this client?

A nurse is educating a group of clients about complementary and integrative therapies. Which of the following statements about these therapies are curate?

A nurse is preparing to communicate with a hearing-impaired client during a routine assessment. Which of the following strategies is most appropriate for ensuring effective communication with this client?

A nurse is caring for a client who has a mental illness. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?

A nurse is reflecting on their own personal attitudes about vulnerable populations. Which of the following statements demonstrates an attempt by the nurse to minimize judgment and bias when caring for clients?

Exhibits

Complete the following sentence by using the list of options.

Mrs. Thompson is at high risk for developing
dropdown
evidenced by the client's
dropdown