EXAM QUESTIONS AND ANSWERS 100%
CORRECT!!
, A client is newly diagnosed with a terminal illness. Which of the following should the
nurse assess first?
A-Coping skills of the client
B- Clients perception of the diagnosis
C- Level of support from clients friends and family
D- Spiritual and cultural beliefs of the nurse - ANSWER B-
The more clearly the problem and impact of the diagnosis can be defined, the more
likely effective solutions can coping strategies will be identified. This should be the initial
assessment of the nurse.
A home health nurse provides care to an older adult client who appears malnourished
and wearing clothes that are soiled. Which of the following interventions should the
nurse implement? (select all)
A- document client-caregiver interactions
B- evaluate clients access to basic necessitates
C- Ask the caretaker if the client is being abused.
D- Encourage admission to a hospital for monitoring
E- Report suspected client neglect to proper authorities. - ANSWER A, B, E-
The nurse should monitor and document verbal and nonverbal communication.
Avoidance of eye contact, aggressive behavior, and blaming may reflect increased
likelihood of neglect, and/or abuse. It is important to assess if the client can access food
and water or if they are dependent on the caregiver for nutrition and hydration.
Dependency of older adults increases the risk of neglect/abuse. Older adult clients may
become vulnerable because of poor physical/ mental health. Nurses are legally
mandated to report suspected or actual abuse/ neglect.
A client who has an alcohol use disorder begins to exhibit symptoms of withdrawal.
Which of the following medications should the nurse administer?
A- Disulfiram
B- Methadone
C- Varenicline
D- Phenobarbital - ANSWER D-
Phenobarbital can be used to treat alcohol withdraw . Other medications used to treat
withdraw include benzodiazepines
A client who is of Hispanic origin is admitted to a med surg unit. Which of he following
factors should the nurse consider when providing culturally competent care? (Select all)