A male elder living in an adult community becomes a widower 1 month after retirement. Two months later, he has not resumed a weekly outing with his fishing club. Which should the nurse implement?
a. Ask the elder why he is not fishing.
b. Have club members visit him at home.
c. Meet with him to assess his interests.
d. Enroll him in a weekly card game.
C
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A Incorrect. The nurse avoids confronting the elder even if done so in a gentle manner. "Why" questions can be interpreted as confrontational, and the elder can be unable or unwilling to articulate a reason.
B Incorrect. The nurse avoids asking club members to visit him because it removes the elder from the decision making. Although this effort can be well-meaning, it can be misinterpreted as an invasion of privacy.
C Correct. The nurse meets with the elder to determine how and when to establish new relationships and social activities in light of his wife's death. Even though the elder engaged in fishing beforehand, the nurse respects the elder's wishes and needs as he transitions to a different life.
D Incorrect. The elder is much more likely to participate in an activity in which he has input. In addition, the nurse's action can be misinterpreted as disrespectful because an adult has the right to control his own life.
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Which function or assessment finding in a client being admitted to the postanesthesia care unit after surgery is the best indication that the client's respiratory status does not require immediate attention?
A. The client is able to talk. B. The client is alert and oriented. C. The client's oxygen saturation is 90%. D. The client's chest rises and falls rhythmically during respiration.
Which of the following is a consideration in the assessment of a Spanish-speaking patient?
1. There is no need to consider a Spanish-speaking patient since the nurse is unlikely to encounter one. 2. There are many easy to use Spanish pain reporting tools out there. 3. Spanish-speaking patients should learn to report pain using English scales to make it easier for the nurse. 4. Finding accurate Spanish tools to assist in the reporting of pain can be difficult since colloquialisms vary greatly between Spanish-speaking countries.
When a nurse is teaching a client from a culture that is "present oriented," about a dressing change that should be preformed twice a day, the nurse best addresses the cultural issue by:
1. Allowing the client to select the times the dressing will be changed. 2. instructing the client to change the dressing after breakfast and before going to bed 3. At 10 AM and 4 PM 4. Whenever the client chooses, as long as it gets done twice daily