In a client's culture it is exceedingly rude to ask any questions about income or wealth. Which of the following actions should be taken by the nurse to draw conclusions about the client's socioeconomic status (SES)?

a. Ask about the client's education or employment position
b. Ask his or her religious leader to share such information with the nurse
c. Let the financial office deal with the problem
d. Refer the issue to the social worker who has better sources of information


ANS: A
SES may be determined by examining income, occupation, and educational level. If that is not possible, age, gender, possessions, location of residence, religion, and race may also be considered.

Nursing

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A nurse assesses a client who is prescribed a medication that stimulates beta1 receptors. Which assessment finding should alert the nurse to urgently contact the health care provider?

a. Heart rate of 50 beats/min b. Respiratory rate of 18 breaths/min c. Oxygenation saturation of 92% d. Blood pressure of 144/69 mm Hg

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The nurse explains that a decrease in estrogen and __________ are responsible for the changes in the female reproductive system

Fill in the blank with the appropriate word.

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The 85-year-old client says she does not perform breast self-exam because there is no history of breast cancer in her family. What is the nurse's best response?

A. "You are correct. Breast cancer is an inherited type of malignancy and your fam-ily history indicates a low risk for you to develop it." B. "Breast cancer can be found more frequently in families; however, the risk for general, nonfamilial breast cancer increases with age." C. "Because your breasts are no longer as dense as they were when you were younger, your risk for breast cancer is now decreased." D. "Examining your breasts once per year when you have your mammogram is suf-ficient screening for someone with your history."

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A client with a spinal cord injury (SCI) that has resulted in paraplegia has expressed doubts about "ever being able to give birth to children."

The nurse formulates the best response to the client's concern based on the understanding that: 1. Becoming a biological mother is usually possible regardless of an SCI. 2. Being sexually active will require a supportive partner. 3. Ability to function sexually will be determined by her ability to accept the physical limitations. 4. Conception is usually by artificial insemination.

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