The home health nurse is visiting with a client with terminal cancer whose partner has become the primary caregiver. The partner states, "Maybe I will lose weight since I rarely have time to eat." Which of the following responses should the nurse make?

"Have you been trying to lose weight?"

"You must take care of yourself or you will not be able to care for your partner."

"What are some things you are doing to take care of yourself?"

"It is often easy to lose weight when we become busy and distracted."

Answer and Explanation

The Correct Answer is C

A. "Have you been trying to lose weight?" This response does not address the caregiver’s concern about losing weight due to lack of time and may seem to dismiss their situation.

B. "You must take care of yourself or you will not be able to care for your partner." While this statement is true, it may be perceived as accusatory and could lead to feelings of guilt or resentment.

C. "What are some things you are doing to take care of yourself?" This is a good response as it encourages the caregiver to think about their self-care practices and opens a dialogue about their well-being.

D. "It is often easy to lose weight when we become busy and distracted." This response might minimize the caregiver’s concern and does not provide practical support or solutions.

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Correct Answer is A

Explanation

A. Sexually transmitted infections: This is relevant for young adults as preventive measures can help avoid STIs, which is an important health issue in this age group.

B. Communicable diseases: While important, communicable diseases are a broader category and might not be as specific to the preventive focus for young adults.

C. Cardiovascular disease: Cardiovascular disease becomes a more significant concern in middle adulthood, so it is less relevant to preventive measures for young adults.

D. Mental health alterations: Mental health issues are significant and relevant for young adults, but cardiovascular disease is more specific to preventive measures for the transition into middle adulthood.

A. The client with breast cancer who had a mastectomy. B. The client with chronic obstructive pulmonary disease who requires oxygen therapy. C. The client with colon cancer who has a colostomy. D. The client with a left upper arm fracture who was a victim of a crime.

Correct Answer is D

Explanation

A. The client with breast cancer who had a mastectomy. This client is facing a significant life change and physical alteration that may lead to psychosocial stressors such as body image issues and emotional distress.

B. The client with chronic obstructive pulmonary disease who requires oxygen therapy. Although this condition is challenging, the primary stressors are often physical and related to the management of the disease rather than psychosocial stressors.

C. The client with colon cancer who has a colostomy. A colostomy can affect body image and self-esteem, potentially leading to psychosocial stressors such as anxiety or social isolation.

D. The client with a left upper arm fracture who was a victim of a crime. The fracture and the trauma of being a crime victim are significant psychosocial stressors. The emotional and psychological impact of the crime can affect the client’s overall mental health.

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The home health nurse is visiting with a client with terminal cancer whose partner has become the primary caregiver. The partner states, "Maybe I will lose weight since I rarely have time to eat." Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a group of young adult clients about preventive measures to help avoid the major health problems-of middle adult years. Which of the following should the nurse include in the teaching?

Correct Answer is A

Explanation

The nurse is assessing a group of clients for psychosocial stressors. Which of the following client's should the nurse identify as having this type of stressor?

Correct Answer is D

Explanation

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