Correct Answer: A

Rationale:
Correct Answer: A: Patient's need for information and level of understanding


Rationale:
1. Patient education is essential for informed decision-making and self-management.
2. Assessing the patient's need for information ensures tailored communication.
3. Understanding the patient's level of understanding helps in providing appropriate explanations.
4. Clear directions on treatment plans and expectations improve patient outcomes.

Other

Choices:
B: Detailed overview of disease process - This may overwhelm the patient and not address their immediate need for guidance.
C: Specific examples from other patients with same disease - Confidentiality and individual differences may make this approach ineffective.
D: Nurse's feelings about newest treatment modality - Not relevant to the patient's immediate need for guidance and information.

Correct Answer: A

Rationale: The correct answer is A: Severe dyspnea. In a tension pneumothorax, air accumulates in the pleural space, increasing pressure in the chest cavity, leading to severe dyspnea due to impaired lung expansion. Extreme agitation (
B) is not a typical finding. Tracheal deviation (
C) is seen in tension pneumothorax, not always present. Progressive cyanosis (
D) may occur but is not as specific as severe dyspnea.

Correct Answer: B

Rationale: The correct answer is B: Listen to the parents talk about their child and observe their movements and gestures. This is the first step in using self-disclosure effectively to aid in the grieving process. By actively listening to the parents talk about their child and observing their non-verbal cues, the nurse can gain a deeper understanding of their emotions and experiences. This step helps build rapport and trust, showing empathy and validation for the parents' feelings.

The other choices are incorrect:
A: Succinctly share a personal experience that is a similar grieving experience - This step should come after listening to the parents and understanding their situation.
C: Reflect upon the parent's statements to communicate understanding - Reflecting on the parents' statements is important, but it is not the initial step in the self-disclosure process.
D: Seek verification that the self-disclosure was helpful to the child's parents - Seeking verification should come later in the process, after the self-disclosure has been made and its impact assessed.

Correct Answer: A

Rationale: The correct answer is A because understanding cultural influences on healthcare perceptions and behaviors is essential for providing effective care to patients from different backgrounds. By discovering these influences, the nurse can better communicate, build trust, and provide culturally sensitive care.


Choice B is incorrect as it may disregard the importance of the patients' own cultural beliefs and practices.
Choice C is incorrect as avoiding confrontation of discrimination issues may perpetuate disparities in care.
Choice D is incorrect as speaking Spanish is helpful but not as crucial as understanding cultural influences.

Correct Answer: C

Rationale: The correct answer is C because the UAP having no experience with neutropenic precautions is the most important factor to consider when assigning care for a neutropenic client like Mr. N. Neutropenic clients are at high risk for infections due to low white blood cell count, so it is crucial for the UAP to have knowledge and experience in following strict infection control practices.

Choices A, B, and D are not as critical because a UAP being pregnant in the first trimester, having cold symptoms, or having a fear of isolation clients do not directly impact their ability to provide safe care for a neutropenic client.