A nurse is planning care for several clients who have chronic conditions and live in a rural area. Which client would benefit most from tertiary prevention strategies?

Correct Answer: C

Rationale: Tertiary prevention optimizes chronic illness outcomes, vital in rural areas with care gaps. The COPD client in pulmonary rehab benefits most rehab post-diagnosis boosts lung capacity and endurance via tailored exercises, cutting exacerbations, a nursing-led strategy. The hypertensive client needs primary or secondary focus med adherence or screening not tertiary yet. The diabetic's foot checks are tertiary but self-managed, less intensive. The arthritis client's exercise class is tertiary too, but rehab's structured, multi-faceted approach (breathing techniques, education) outshines general exercise for impact studies show it slashes hospital stays. Nursing's role here maximizes function despite isolation, ensuring this client thrives, aligning with tertiary care's depth for complex chronicity.

Correct Answer: D

Rationale: All are legally required to justify and safely use restraints.

Correct Answer: A

Rationale: Ethnocentrism is judging other cultures by one's own standards, often leading to bias or superiority, like assuming Western medicine trumps traditional practices. Cultural imposition forces one's beliefs on others, a related but distinct act. Cultural taboos are specific prohibitions, and acculturation is adapting to another culture. In nursing, ethnocentrism hinders culturally competent care, risking mistrust. Recognizing it promotes respect for diverse health beliefs, enhancing patient cooperation and outcomes.

Correct Answer: C

Rationale: Tertiary prevention optimizes chronic illness outcomes, vital in rural areas with care gaps. The COPD client in pulmonary rehab benefits most rehab post-diagnosis boosts lung capacity and endurance via tailored exercises, cutting exacerbations, a nursing-led strategy. The hypertensive client needs primary or secondary focus med adherence or screening not tertiary yet. The diabetic's foot checks are tertiary but self-managed, less intensive. The arthritis client's exercise class is tertiary too, but rehab's structured, multi-faceted approach (breathing techniques, education) outshines general exercise for impact studies show it slashes hospital stays. Nursing's role here maximizes function despite isolation, ensuring this client thrives, aligning with tertiary care's depth for complex chronicity.

Correct Answer: C

Rationale: Transcultural nursing is care considering cultural influences (C), per Leininger tailoring to beliefs, values. One culture (A) limits, ignoring (B) neglects, spiritual-only (D) narrows. C best defines its culturally aware approach, making it correct.

Correct Answer: C

Rationale: End-of-life care aims for comfort and dignity (C), per palliative principles not cure (A), not hospital-only (B), not all (D) home/hospice possible. C truly defines its goal, making it correct.

Correct Answer: B

Rationale: Secondary prevention is early disease detection (B), per levels e.g., screening. Promotion (A) is primary, rehab (C) and complication prevention (D) tertiary. B best defines secondary's focus, making it correct.

Correct Answer: C

Rationale: Using a 1-inch needle ensures heparin reaches subcutaneous tissue aspiration risks bleeding, massage disperses drug (avoided), and upper arm isn't ideal (abdomen is). Nurses use proper depth, minimizing bruising, key for anticoagulation therapy.

Correct Answer: A

Rationale: Keeping diagnosis private is confidentiality (A) privacy protection, per ethics. Justice (B) fairness, veracity (C) truth, nonmaleficence (D) harm avoidance not privacy-specific. A fits the nurse's duty to safeguard Mr. Gary's info, aligning with ethical and legal standards, making it correct.