The home health nurse is visiting with an older retired adult who states, "My children do not want me to drive anymore, they say I am a dangerous driver." Which of the following responses would be most appropriate?

“your children they cannot take away your driving privileges."

"Driving is hard for older people, now you will have more time to try a new hobby."

“This change can be difficult, let's explore alternative transportation methods"

“Losing your privileges is awful, now you have to wait for someone else to drive you around."

Answer and Explanation

The Correct Answer is C

A. “Your children, they cannot take away your driving privileges." This response is dismissive and does not address the safety concerns or explore alternative solutions. It may also ignore legal and practical considerations.

B. "Driving is hard for older people; now you will have more time to try a new hobby." This response does not directly address the individual's concerns and may come across as insensitive. It also does not explore practical alternatives for transportation.

C. "This change can be difficult; let's explore alternative transportation methods." This is the most appropriate response as it acknowledges the difficulty of the situation while offering practical support by exploring alternative transportation options.

D. “Losing your privileges is awful; now you have to wait for someone else to drive you around." This response is negative and does not provide constructive support. It may increase feelings of frustration or helplessness rather than addressing the issue constructively.

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Correct Answer is A

Explanation

A. The client with a left lower extremity fracture. Somatic pain is related to damage to body tissues, such as fractures. This type of pain is typically localized and can be acute or chronic.

B. The client with a bowel obstruction. Pain from a bowel obstruction is typically visceral rather than somatic, as it involves internal organs.

C. The client with a skin tear to the upper extremity. While this involves the skin, it is typically considered superficial somatic pain, but the context of the question suggests a deeper musculoskeletal issue.

D. The client with pneumonia. Pain from pneumonia is usually visceral due to inflammation in the lungs.

A. Acute pain B. Risk for injury C. Activity Intolerance D. Toileting self-care deficit

Correct Answer is B

Explanation

A. Acute pain: This diagnosis might be relevant if the patient has pain, but it does not address the main concern of mobility and risk related to recent falls.

B. Risk for injury: This is the most appropriate diagnosis as the patient’s inability to bear weight and recent falls increase their risk of further injury.

C. Activity Intolerance: While the patient may have activity intolerance, the more pressing concern related to their recent falls and inability to bear weight is the risk for injury.

D. Toileting self-care deficit: This diagnosis might be relevant if there were specific issues with toileting, but it is not the most appropriate for the general risk of injury due to recent falls.

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The home health nurse is visiting with an older retired adult who states, "My children do not want me to drive anymore, they say I am a dangerous driver." Which of the following responses would be most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing a group of clients for somatic pain. Which of the following client's would be experiencing this type of pain?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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