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?

Instruct the family about anticipatory grieving

Explore effective ways of family coping

Encourage the family’s expression of their feelings

Discuss the disease and its manifestations with family members

Answer and Explanation

The Correct Answer is C

A. Instruct the family about anticipatory grieving: While anticipatory grieving is important, it is better addressed after the family has had time to express initial feelings.

B. Explore effective ways of family coping: This is important but should come after encouraging the family to process their immediate feelings.

C. Encourage the family’s expression of their feelings. The first priority is to allow the family to express their emotions and begin the grieving process. Encouraging emotional expression helps the family cope with the overwhelming news and facilitates their emotional support needs.

D. Discuss the disease and its manifestations with family members: While understanding the disease is essential, focusing on the family's emotional response is more critical at this initial stage of shock and grief.

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Correct Answer is A

Explanation

A. "Use written communication to supplement verbal instructions and ensure the client understands the information." Written communication supports understanding, especially when hearing impairment may limit verbal communication.

B. "Use gestures and non-verbal cues only, without speaking, as the client is able to read lips effectively." Lip reading alone is insufficient for most hearing-impaired clients. Combining gestures, speech, and written communication is more effective.

C. "Avoid standing in front of the client while speaking." Standing in front of the client is crucial to ensure visibility for lip-reading or interpreting gestures.

D. "Speak loudly and slowly to the client to ensure they can hear you clearly." Speaking too loudly may distort sounds, and slow speech does not always enhance comprehension. Instead, normal tone and clear enunciation are recommended.

A. Developing and implementing a culturally competent health education program tailored to underserved populations to improve access to preventive services. B. Prioritizing high-cost interventions for clients with advanced diseases while not addressing preventive care for at-risk populations. C. Providing standard health education materials to all clients without regard for their cultural, linguistic, or socioeconomic backgrounds. D. Focusing only on individual client care in a clinic without considering social determinants of health that may affect the client's well-being.

Correct Answer is A

Explanation

A. Developing and implementing a culturally competent health education program tailored to underserved populations to improve access to preventive services. This action aligns with Healthy People 2030’s goals to reduce health disparities by addressing cultural and linguistic needs while improving access to care, particularly preventive services. This demonstrates a proactive and equitable approach.

B. Prioritizing high-cost interventions for clients with advanced diseases while not addressing preventive care for at-risk populations. This approach does not align with Healthy People 2030’s focus on prevention and reducing health disparities. It emphasizes reactive care rather than addressing upstream factors that lead to disparities.

C. Providing standard health education materials to all clients without regard for their cultural, linguistic, or socioeconomic backgrounds. Providing standard materials without customization overlooks individual needs, perpetuating health disparities rather than addressing them.

D. Focusing only on individual client care in a clinic without considering social determinants of health that may affect the client's well-being. Social determinants of health are critical in reducing disparities, and neglecting these factors is inconsistent with Healthy People 2030’s objectives.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

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?

Correct Answer is A

Explanation

A nurse is caring for a client who has an eating disorder. The nurse is practicing which of the following ethical concepts when the client refuses to drink a between meal protein and calorie supplement?

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A nurse is preparing to administer morphine IV to a client. Which of the following medications should the nurse plan to have available?

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A nurse is caring for a client who requests prescription pain medication. Which of the following actions should the nurse perform first?

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?

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