A client is being seen for disrupted sleep patterns. The nurse encourages the client to verbalize feelings about sleep and inability to maintain adequate sleep habits. What is the rationale for this action?

Correct Answer: B

Rationale: Clients experiencing disrupted sleep patterns may have underlying anxiety or fear contributing to their poor sleep habits. Encouraging clients to verbalize their feelings about sleep allows them to address any negative emotions that may be impacting their ability to sleep well. By working through these issues, clients may experience increased peace and relaxation, which can help promote better sleep. Option A is incorrect because assuming a mental illness without evidence can lead to mismanagement of the client's care. Option C is incorrect as it does not address the underlying emotional factors affecting the client's sleep patterns. Option D is incorrect as there is a specific rationale for encouraging the client to verbalize their feelings about sleep.

Correct Answer: B

Rationale: Preload refers to the volume of blood that enters the right side of the heart. This volume stretches the fibers in the heart before contraction. Preload is an essential factor in determining the force of ventricular contraction. Choices A, C, and D are incorrect. Choice A is incorrect because preload is specifically related to the volume of blood entering the right side of the heart. Choices C and D are incorrect as they refer to afterload, which is the pressure that the heart must overcome to pump blood out of the ventricles into the systemic or pulmonary circulation.

Correct Answer: B

Rationale: Nursing care plans are comprehensive documents created by registered nurses to outline individualized care for patients. These plans serve as guidelines for all members of the nursing team, including nursing assistants, to ensure consistent and quality care. Choice A is incorrect as CNAs typically assist in implementing the care plan rather than creating it. Choice C is incorrect as nursing care plans are utilized by all members of the nursing team, not exclusive to only nurses. Choice D is incorrect as nursing assistants also utilize nursing care plans to provide patient care effectively.

Correct Answer: A

Rationale: In the context of nursing care plans, the correct answer is A) nursing diagnoses. Nursing care plans are essential tools used by nurses to outline the care to be provided to a patient. Nursing diagnoses are critical components of these plans as they identify actual or potential health problems that the nurse is responsible for managing. By identifying nursing diagnoses, nurses can tailor interventions to address specific patient needs and achieve optimal outcomes. Option B) medical diagnoses are not included in nursing care plans because they are determined by physicians and focus on the disease or condition itself, rather than the nursing interventions required to address the patient's responses to the illness. Option C) MD orders are not typically included in nursing care plans as they are specific instructions given by the physician for treatments, medications, and procedures. While nurses implement these orders, they are separate from the nursing care plan itself. Option D) intake and output forms are important documentation tools used to monitor a patient's fluid balance, but they are not typically included as a component of the nursing care plan. The nursing care plan focuses on identifying nursing diagnoses, setting goals, and outlining interventions to address the patient's unique needs. Educationally, understanding the components of a nursing care plan is crucial for nursing students and practicing nurses to provide individualized and effective patient care. By correctly identifying nursing diagnoses and developing appropriate interventions, nurses can promote patient safety, improve outcomes, and deliver high-quality care.

Correct Answer: C

Rationale: The major difference between long-term care and respite centers is that long-term care facilities provide both physical and emotional care on an ongoing, long-term basis. This continuous care is essential for residents who require extended assistance. In contrast, respite centers offer temporary services, providing similar care but for a short-term duration. These short-term services are designed to give family caregivers a break from their daily responsibilities. Choice A is incorrect because both long-term care and respite centers can offer both physical and emotional care, but the key distinction lies in the duration of care provided. Choice B is incorrect as respite centers do not typically offer outpatient services, and the focus is on temporary relief rather than long-term care. Choice D is incorrect as the question clearly highlights a major difference between long-term care and respite centers.