which intervention should the nurse implement when
the elderly female client of mexican heritage is u
the home health nurse is making the initial visi
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Med Surg Success Q & A Exam 1
questions and answers with verified
solutions well elaborated!!!
Which intervention should the nurse implement when discussing health promotion
activities for a client with a German heritage who leads a sedentary lifestyle?
1. Refer the client to a support group for weight loss.
2. Teach the client to never drink alcoholic beverages.
3. Help the client to identify a routine exercise program.
4. Assist the client to make a list of foods which must be avoided. -
ANSWER✔✔Help the client to identify a routine exercise program.
The elderly female client of Mexican heritage is upset and tells the nurse the
unlicensed assistive personnel (AP) complimented her grandchild's hair. Which
intervention should the nurse implement?
1. Ask the client why she is upset about the AP's saying the child's hair is pretty.
2. Take no action because the unlicensed assistive personnel was being friendly.
3. Notify the psychologist of the client's response to the AP's compliment.
4. Explain to the AP about the cultural belief regarding the "evil eye." -
ANSWER✔✔Explain to the AP about the cultural belief regarding the "evil eye."
The home health care nurse is visiting an elderly African American female client
who is talking loudly. The client weighs 102 kg, is 5′4′′ tall, and has a BP of
154/98. The client lives with her daughter, son-in-law, and two young
grandchildren. Which intervention should the nursing implement?
1. Maintain extended direct eye contact during the interview.
2. Address what is assumed to be the client's anger because she is talking loudly.
3. Discuss the client's care with the daughter and son-in-law.
4. Discuss a weight-loss program for the client. - ANSWER✔✔Discuss a weight-
loss program for the client.
The home health nurse is making the initial visit to a 42-year-old male client with
terminal cancer. The client is first-generation American-Vietnamese and lives with
his parents, wife, and three children. Which behavior would best promote a
therapeutic nurse/client relationship?
, 1. Use questions which require "yes" and "no" answers when possible. 2. Touch
the client's head to assess warmth in case of a fever.
3. Assume the client's smile means the client understands the teaching.
4. Initially address conversation to the eldest family member. -
ANSWER✔✔Initially address conversation to the eldest family member.
When interviewing the client of Hindu heritage, which information should the
nurse obtain to plan culturally sensitive care?
1. Determine if the client has an advance directive.
2. Assess the extent of the client's use of ayurveda.
3. Request an interpreter to obtain the client's chief complaints.
4. Inquire if the client has allergies to any foods or medications. -
ANSWER✔✔Assess the extent of the client's use of ayurveda.
The unlicensed assistive personnel (AP) notices a strange amulet pinned to the
client's gown and offers to remove it. The client does not want it removed. Which
rationale should the nurse give the AP for allowing the client to continue to wear
the amulet?
1. The client is superstitious and may become distressed if it is removed.
2. The amulet is a silly trinket which won't hurt the client in any way.
3. The client brought the amulet because it gives the client emotional support.
4. The amulet is worthless and no one would try to steal it if it stays on the gown. -
ANSWER✔✔The client brought the amulet because it gives the client emotional
support.
After evaluating the meal tray of a Jewish client, the nurse notices the client ate
none of the meal. Which intervention should the nurse implement first?
1. Request the client's family bring meals the client can eat.
2. Contact the dietary department and request a kosher meal.
3. Notify the local rabbi to request meals be provided for the client. 4. Determine
why the client is not eating any of the meal. - ANSWER✔✔Determine why the
client is not eating any of the meal.
The client approaches the nurse about a weight-loss program. Which
complementary therapy should the nurse suggest to assist the client's plan?
, 1. Music therapy.
2. Hypnotherapy.
3. Hatha yoga.
4. Alexander technique. - ANSWER✔✔Hypnotherapy.
The nurse is incorporating complementary therapies in the routines of residents of
a long-term care facility. Which information should the nurse consider when
matching the clients with the therapy? Select all that apply.
1. The client's preferences.
2. The client's likes and dislikes.
3. The benefits obtained from the therapy.
4. The significant other's concerns.
5. The client's ability to perform therapies. - ANSWER✔✔The client's preferences.
The client's likes and dislikes.
The benefits obtained from the therapy.
The client's ability to perform therapies
Which form of complementary therapy should the nurse encourage as a relaxation
technique for the anxious elderly client admitted for surgery?
The nurse is providing preoperative teaching about pain management techniques
for the client having surgery. The client has a history of drug abuse. What should
the nurse include in this client's plan of care?
1. The nurse should know these clients always require too much nursing care.
2. The client should select two (2) alternate therapies to replace medications.
3. The client should receive complementary therapies in addition to medications.
4. The nurse should plan to administer a double dose of medication to this client. -
ANSWER✔✔The client should receive complementary therapies in addition to
medications
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