A 45-year-old client voices concerns about gaining 12 pounds over the past two years. The client reports no change in dietary habits. Which response by the nurse is most appropriate?

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Question 1 of 5

A 45-year-old client voices concerns about gaining 12 pounds over the past two years. The client reports no change in dietary habits. Which response by the nurse is most appropriate?

Correct Answer: A

Rationale: A reduction in metabolic rate often accompanies aging. This will cause weight gain despite not eating more calories. Asking the client about exercise fails to provide the needed information to the client. Implying the client is overeating is judgmental, and will do little to establish a therapeutic rapport. The client is aware of aging; pointing this out does little to meet the client's interest in more information.

Question 2 of 5

Which instructions would be appropriate for the nurse to give to a client with acute conjunctivitis from Staphylococcus?

Correct Answer: A

Rationale: Handwashing prevents cross-contamination, soaking lids softens crusts, and not sharing items reduces spread. Rubbing eyes can worsen the condition and spread infection.

Question 3 of 5

A client who has been experiencing premenstrual syndrome reports to the clinic with a diet diary she has kept over the past several weeks. Which of the following findings should be reviewed with the client, with a recommendation made for dietary modification?

Correct Answer: D

Rationale: White bread (simple carbs) should be reduced and swapped for whole grains. Caffeine-free soda, yogurt, and magnesium-rich foods are beneficial for PMS.

Question 4 of 5

A nurse cares for an older adult client who has a chronic skin disorder. The client states, 'I have not been to church in several weeks because of the discoloration of my skin.' How should the nurse respond?

Correct Answer: C

Rationale: Clients with chronic skin disorders often become socially isolated related to the fear of rejection by others. Nurses should assess how the client's skin changes are affecting the client's body image and encourage the client to express his or her feelings about a change in appearance.

Question 5 of 5

A nurse performs a skin screening for a client who has numerous skin lesions. Which lesion does the nurse evaluate first?

Correct Answer: B

Rationale: This mole fits criteria for being cancerous or precancerous: variation of color and irregular border.

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