Which strategy can the nurse use to effectively approach the older adult client during the health history?

Keep the pace of the history moving forward to reduce time.

Limit the use of brief screening tools

Limit open-ended questions.

Have the room well-lit with minimal background noise.

Answer and Explanation

The Correct Answer is D

(A) Keep the pace of the history moving forward to reduce time: While it's important to be efficient, rushing through the health history can compromise the quality of the information gathered. Older adults may need more time to recall details and respond thoughtfully. Ensuring a thorough and patient approach is essential for obtaining accurate and comprehensive information.
(B) Limit the use of brief screening tools: Brief screening tools can be valuable for identifying specific health issues quickly and efficiently. Limiting their use might lead to missing important information or failing to detect underlying conditions. Using appropriate screening tools helps in capturing relevant data and providing a better overall assessment.
(C) Limit open-ended questions: Open-ended questions are crucial in obtaining detailed and descriptive responses from older adults. Limiting their use could hinder the ability to understand the client’s complete health history and concerns. These questions encourage clients to elaborate on their experiences and provide more nuanced information.
(D) Have the room well-lit with minimal background noise: A well-lit room with minimal background noise creates an environment conducive to effective communication. Older adults might have impaired vision or hearing, so ensuring good lighting and reducing distractions helps them focus and respond more accurately. This strategy enhances the accuracy of the health history and facilitates better interaction between the nurse and client.

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Correct Answer is A

Explanation

A) Lordosis: Lordosis refers to an increased inward curvature of the lumbar spine. During pregnancy, this curvature often increases to help compensate for the growing uterus and shift the center of gravity. This adjustment helps maintain balance and alignment but can lead to noticeable changes in posture.
B) Kyphosis: Kyphosis is characterized by an exaggerated outward curvature of the thoracic spine, resulting in a hunchback appearance. It is not related to the increased lumbar curvature seen during pregnancy.
C) Keratosis: Keratosis refers to a condition involving thickening or hardening of the skin, such as actinic keratosis. It is unrelated to spinal curvature or changes associated with pregnancy.
D) Scoliosis: Scoliosis is a condition marked by an abnormal lateral curvature of the spine. It does not specifically relate to the increased lumbar curvature that occurs during pregnancy due to the enlarging uterus.

A. Asymmetrical shape B. Diameter less than 6mm C. Color is uniform D. Borders well demarcated

Correct Answer is A

Explanation

A) Asymmetrical shape: One of the key "ABCD" characteristics of malignant melanoma is asymmetry. Melanomas often have an irregular shape where one half does not match the other, unlike benign moles, which are typically symmetrical. This characteristic helps in distinguishing malignant lesions from benign ones.
B) Diameter less than 6mm: Malignant melanomas are often larger than 6 mm in diameter, especially as they progress. While smaller lesions can still be malignant, a diameter less than 6 mm is not a distinguishing feature for melanoma. Typically, melanomas are identified as growing larger over time.
C) Color is uniform: Malignant melanomas usually exhibit multiple colors or uneven pigmentation rather than uniform color. Uniform color is more characteristic of benign moles. Melanomas can show a mix of colors, including shades of brown, black, and sometimes red or white.
D) Borders well demarcated: Malignant melanoma often has irregular, not well-defined borders. The edges of a melanoma are usually uneven or not clearly defined, unlike benign moles, which typically have smooth, well-demarcated borders.

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Which strategy can the nurse use to effectively approach the older adult client during the health history?

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Naxlex Comprehensive Predictor Exams

Increased lumbar curvature, which compensates for the enlarging uterus in pregnant women, is called what?

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Correct Answer is A

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