A nurse teaches a client who is prescribed a central vascular access device. Which statement should the nurse include in this client's teaching?

Correct Answer: C

Rationale: The correct answer is C because it emphasizes the importance of infection prevention for a client with a central vascular access device. Cleaning connections before access reduces the risk of introducing pathogens. A is incorrect as a sling is not typically needed. B is incorrect because infection risk exists despite sterile technique. D is incorrect as bathing restrictions are not usually necessary with proper care.

Correct Answer: B

Rationale: The correct answer is B: Risk for other-directed violence R/T yelling accusations. This is the priority nursing diagnosis because the student's behavior of yelling accusations at fellow students indicates a potential risk for harm towards others. It is crucial to address this immediate safety concern to prevent any harm to others. A: Altered thought processes R/T hearing voices AEB increased anxiety is incorrect because while altered thought processes may be present, the immediate safety concern of potential violence towards others takes priority. C: Social isolation R/T paranoia AEB absence from classes is incorrect because although social isolation and paranoia are present, the immediate risk of harm towards others is more critical to address first. D: Risk for self-directed violence R/T depressed mood is incorrect because the student's behavior is directed towards others, not towards themselves. The immediate concern is the risk of harm towards others.

Correct Answer: D

Rationale: The correct answer is D: The individual's appraisal of the stressor. This is because how an individual perceives and evaluates a stressor determines their emotional and physiological response. Appraisal involves assessing the significance of the stressor in relation to one's goals, resources, and beliefs. Different individuals may appraise the same stressor differently, leading to varied stress responses. A: The type of stressor is not the most influential factor in determining individual responses to stress, as people can have different reactions to the same stressor based on their appraisal of it. B: The amount of stress does not solely determine the response, as two individuals may experience the same level of stress but react differently based on their appraisal. C: The context of the stressful event is important, but again, it is the individual's interpretation and appraisal of the context that primarily influences their response to stress.

Correct Answer: A

Rationale: The correct answer is A because a patient with cancer experiencing uncontrolled persistent pain meets the eligibility requirement for hospice care. Hospice care focuses on providing comfort and quality of life for patients with terminal illnesses, such as cancer. Persistent pain is a common symptom in cancer patients, and hospice care can help manage it effectively. Choice B is incorrect because having a prognosis of 3 months to live does not automatically qualify a patient for hospice care. Choice C is incorrect because financial constraints are not a determining factor for hospice eligibility, and immobility alone is not sufficient for hospice care. Choice D is incorrect because lacking family support does not determine eligibility for hospice care, and AIDS alone without terminal prognosis may not meet the criteria.

Correct Answer: D

Rationale: The correct answer is D because before offering spiritual support, it is essential for the nurse to understand the client's perceptions and belief system. This step helps tailor the support to the client's individual needs, ensuring it is culturally sensitive and respectful. Option A is incorrect as it jumps to a specific intervention without understanding the client's needs. Option B assumes faith alone can lead to wellness, which may not align with the client's beliefs. Option C focuses on providing religious literature without assessing the client's preferences, potentially missing the mark on effective support.