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Questions 157

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Question 1 of 5

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?

Correct Answer: D

Rationale: In Vietnamese culture, respecting elders is key; addressing the eldest family member first builds trust. Yes/no questions limit communication, head touching may be offensive, and smiles may not indicate understanding.

Question 2 of 5

The unlicensed assistive personnel (UAP) is bathing a client who is comatose and the radio is playing current rock music. The client has tachycardia and elevated blood pressure. Which intervention should the nurse implement?

Correct Answer: B

Rationale: Baroque music (slow, calming) may reduce tachycardia and BP in a comatose client, per music therapy principles. No action ignores symptoms, medication is premature, and repositioning is unrelated.

Question 3 of 5

Which information would be most important for the public health department nurse to obtain before giving the client condoms?

Correct Answer: C

Rationale: Latex allergies can cause severe reactions, making it critical to assess before providing condoms. Frequency, preferences, and history are secondary.

Question 4 of 5

The client is admitted to the medical unit complaining of severe abdominal pain. Which intervention should the nurse implement first?

Correct Answer: A

Rationale: Assessing for complications (e.g., perforation) is the first step in severe abdominal pain, per nursing process.

Question 5 of 5

The nurse is teaching the client how to use guided imagery. Which information would indicate the teaching has been effective?

Correct Answer: D

Rationale: Visualizing a favorite place is a core component of guided imagery, indicating effective teaching. Chanting, arm rubbing, and music selection are not specific to guided imagery.

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