A30-year-oldmanisintheclinicforayearlyphysical.Hestates,Ifoundoutthattwoofmyuncleshad heartattackswhentheywereyoung.Thisalertsthenursetocompleteagenetic-specificassessment. Whatcomponentshouldthenurseincludeinthisassessment? s

Correct Answer: A

Rationale: The correct answer is A because a comprehensive genetic-specific assessment should include a complete health history to identify any genetic predispositions, a genogram to visualize the family history of heart attacks, and any history of cholesterol testing to assess cardiovascular risk factors. Additionally, a complete physical exam is essential to identify any current physical indications of potential heart issues. Choice B is incorrect because a limited health history would not provide enough information to assess genetic risks thoroughly. Choice C is incorrect because safety-related education is not the primary focus of a genetic-specific assessment. Choice D is incorrect because focusing only on the paternal family may overlook important genetic information from the maternal side.

Correct Answer: C

Rationale: The correct answer is C. In a community health assessment during a home visit, the nurse should prioritize assessing the community and home environment, support systems or family care, and the availability of needed resources. This is essential to understand the patient's living conditions, social support network, and access to resources that can impact their health outcomes. Choices A, B, and D do not focus on the holistic assessment of the patient's environment, support systems, and available resources, making them incorrect. Choice A only mentions prioritizing certain variables without considering the broader context. Choice B focuses on healthcare services and financial support rather than the patient's overall environment. Choice D mentions future health status without considering the current situation or resources available to the patient.

Correct Answer: B

Rationale: Step-by-step rationale for why answer B is correct: 1. Privacy and accuracy: Storing patient information on a computer allows for better organization and security compared to pen and paper. 2. Accessibility: Electronic records can be easily accessed and updated by authorized personnel. 3. Efficiency: Retrieving and sharing patient data is quicker and more efficient with digital records. 4. Compliance: Using electronic health records aligns with modern healthcare standards and regulations. 5. Patient care: By maintaining accurate and easily accessible records, healthcare providers can deliver better and more coordinated care. Summary of why other choices are incorrect: A: Focuses on patient care and cost reduction, not directly addressing the family's concerns about technology use. C: Appeals to common practice and technology trends, but does not address the family's specific concerns about their beliefs. D: Incomplete answer, no rationale provided.

Correct Answer: C

Rationale: The correct answer is C: Culturally sensitive materials, such as the Mediterranean Pyramid. This choice is the most appropriate because it takes into consideration the patient's cultural background, which is Greek. The Mediterranean diet is well-known for its health benefits and is a suitable dietary recommendation for a Greek elderly woman. Referring to the Mediterranean Pyramid ensures that the dietary recommendations align with the patient's cultural preferences and traditions. Choice A (The U.S. Department of Agriculture's MyPlate) is incorrect because it provides general dietary guidelines but may not be culturally tailored for a Greek individual. Choice B (Evidence-based resources on nutritional assessment) is also incorrect as it focuses on assessment rather than specific dietary recommendations based on the patient's cultural background. Choice D (A Greek cookbook that contains academic references) is not the best option as it may not provide a comprehensive and balanced dietary plan suitable for the patient's health needs.

Correct Answer: B

Rationale: The correct answer is B: Allergies. When completing a family history, it is important to inquire about allergies as they can impact the patient's current health condition and treatment options. Allergies are known to trigger exacerbations in chronic conditions. Alcoholism (choice C) and Psoriasis (choice D) may be relevant to the patient's overall health but are not directly related to exacerbation of chronic respiratory conditions. Therefore, the nurse should prioritize asking about allergies to gather crucial information for the patient's care.