A nurse assesses the cognitive-perceptual pattern of a Type 1 diabetic client. Which finding has implications for the individual’s nursing plan of care?

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Question 1 of 5

A nurse assesses the cognitive-perceptual pattern of a Type 1 diabetic client. Which finding has implications for the individual’s nursing plan of care?

Correct Answer: D

Rationale: In the context of a Type 1 diabetic client, the finding of decreased visual acuity has significant implications for the nursing plan of care. Diabetes can lead to various complications, including diabetic retinopathy, which affects the eyes and can cause vision problems. Monitoring and addressing changes in visual acuity are crucial in managing the client's condition effectively, as poor vision can impact their ability to engage in self-care practices, medication administration, and overall quality of life. Regarding the other options: A) Decreased sense of hearing: While important for overall assessment, hearing impairment in this scenario does not have direct implications on the management of a Type 1 diabetic client's care. B) Decreased sense of smell: While sensory changes can occur in diabetes, a decreased sense of smell does not directly impact the nursing care plan for a Type 1 diabetic client. C) Decreased sense of taste: Similarly, changes in taste perception, while possible with diabetes, do not have the same direct impact on the nursing plan of care as decreased visual acuity, which can significantly affect daily activities and self-management tasks. Educationally, this question highlights the importance of understanding the specific manifestations and implications of diabetes on various body systems. It emphasizes the need for nurses to prioritize assessments related to potential complications such as visual changes to provide holistic and effective care for diabetic clients.

Question 2 of 5

Which of the following best describes a primary prevention method for colon cancer?

Correct Answer: B

Rationale: In the context of pharmacology and health promotion, understanding primary prevention methods for diseases like colon cancer is essential for nursing practice. In this scenario, the correct answer is B) High fiber diet. A high fiber diet is considered a primary prevention method for colon cancer because it helps to promote regular bowel movements and reduces the time that potentially harmful substances are in contact with the colon lining. Fiber also binds with certain cancer-causing agents in the colon, aiding in their removal from the body. Option A) Hemoccult testing, while important for early detection of blood in the stool, is a screening tool, not a primary prevention method. Option C) Colonoscopy is a valuable screening tool and diagnostic procedure but is not a primary prevention method. Option D) Laparoscopy is a surgical procedure used for diagnostic purposes and is not a primary prevention method for colon cancer. Educationally, nurses must understand the distinction between primary, secondary, and tertiary prevention methods to provide effective patient education and care. By promoting a high fiber diet, nurses can empower patients to make lifestyle choices that can reduce their risk of developing colon cancer, contributing to overall health promotion and disease prevention.

Question 3 of 5

During a health history, a person reports getting 5 hours of sleep a night. What does this information indicate to the nurse?

Correct Answer: D

Rationale: In this health promotion nursing question related to pharmacology, the correct answer is D) The nurse must ask additional questions. This response is appropriate because the person's reported sleep duration of 5 hours per night may indicate a potential sleep deprivation issue. It is crucial for the nurse to delve deeper into the reasons behind this inadequate sleep duration to assess the person's overall health and well-being comprehensively. Option A is incorrect because getting only 5 hours of sleep per night is generally considered insufficient for most adults. Sleep plays a vital role in maintaining overall health, cognitive function, and emotional well-being. Therefore, it is important for the nurse to address potential sleep deficits. Option B is incorrect as receiving 5 hours of sleep per night is usually below the recommended 7-9 hours for adults. Hence, it is not considered adequate sleep based on general health guidelines. Option C is incorrect as the focus should not solely be on the location of sleep but rather on the quantity and quality of sleep obtained. Asking additional questions will help the nurse gather more information to assess the individual's sleep patterns, potential sleep disorders, lifestyle factors affecting sleep, and possible interventions to improve sleep hygiene. In an educational context, this question emphasizes the importance of conducting a thorough health assessment, including sleep patterns, to identify potential health issues and provide appropriate nursing care. Understanding the significance of sleep in promoting overall health and well-being is essential for nurses to address sleep-related concerns effectively.

Question 4 of 5

A nurse working with a Hispanic family is explaining the plan for managing a child’s asthma to the child’s mother, father, and grandmother. To whom should the nurse direct the education?

Correct Answer: D

Rationale: In this scenario, directing the education to the parents and grandmother (Option D) is the most appropriate choice. This approach is based on the concept of family-centered care, which recognizes the importance of involving the entire family in healthcare decisions and management, especially in culturally diverse settings like working with a Hispanic family. By educating both parents and the grandmother, the nurse ensures that all primary caregivers are equipped with the necessary knowledge and skills to effectively manage the child's asthma. This approach promotes a collaborative and supportive environment where all caregivers can work together to provide the best care for the child. Directing the education only to the mother (Option A) or father (Option B) may exclude important caregivers from the decision-making process and limit the support available to the child. Similarly, focusing solely on the grandmother (Option C) may overlook the parents' roles and responsibilities in managing the child's asthma. By involving all primary caregivers in the education process, the nurse can enhance communication, understanding, and adherence to the asthma management plan within the family. This inclusive approach not only improves the child's health outcomes but also fosters a sense of shared responsibility and empowerment among all family members involved in the child's care.

Question 5 of 5

A nurse is counseling a person with a dysfunctional sleep pattern. Which of the following recommendations would the nurse most likely give the person?

Correct Answer: B

Rationale: In addressing a person with a dysfunctional sleep pattern, the nurse's most likely recommendation would be to choose option B) Avoid fluids after 7 PM. This recommendation is based on the understanding that consuming fluids close to bedtime can lead to frequent awakenings due to the need to urinate, disrupting the sleep cycle. By avoiding fluids after 7 PM, the person can reduce the likelihood of sleep interruptions and improve the quality of their sleep. Option A) Read in bed until falling asleep is not recommended as it can associate the bed with wakefulness rather than sleep, making it harder to fall asleep. Option C) Exercising immediately before bedtime can be stimulating and raise the person's alertness, making it difficult to fall asleep. Option D) Watching television in the recliner in the evening exposes the person to blue light, which can interfere with the production of melatonin, a hormone that regulates sleep-wake cycles. In an educational context, it is crucial for nurses to understand the impact of lifestyle factors on sleep patterns and be able to provide evidence-based recommendations to promote healthy sleep habits. By explaining the rationale behind each recommendation, nurses can empower individuals to make informed choices that support restful and rejuvenating sleep.

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