An older adult client has been moved from home to a skilled nursing facility (SNF). Which behavior, demonstrated by this client, indicates a problem with daily functioning?

Correct Answer: D

Rationale: The correct answer is D because the client's refusal to use the prescribed walker indicates a problem with daily functioning. Using a walker is crucial for mobility, safety, and independence in a SNF setting. Not using the walker can lead to increased risk of falls and potential injuries, affecting the client's ability to perform daily activities. A: Eating 80% of meals shows adequate nutrition intake. B: Watching TV with others is a social activity. C: Wanting to wear one's own clothing is a personal preference and does not directly impact daily functioning.

Correct Answer: D

Rationale: The correct answer is D: Jehovah's Witnesses. This religion prohibits the acceptance of blood transfusions based on their interpretation of biblical teachings. They believe that blood is sacred and should not be consumed or transfused. Mormons (A) do not have specific restrictions on blood transfusions. Buddhism (B) and Catholicism (C) do not have prohibitions against blood transfusions.

Correct Answer: D

Rationale: The correct answer is D) interpersonal and compassionate dimensions of care. The 'art of nursing' primarily emphasizes the humanistic aspects of patient care, focusing on building therapeutic relationships, showing empathy, and providing emotional support. This is crucial in promoting patient well-being, trust, and healing. Option A) application of evidence-based knowledge is important in nursing practice, but it pertains more to the 'science of nursing' which involves applying research and best practices to deliver effective care. Option B) technical expertise in medical procedures is essential for providing safe and competent care, but it represents the technical skills aspect of nursing rather than the art of nursing. Option C) proficiency in administering medications is a fundamental nursing skill related to the safe administration of drugs, but it does not encompass the holistic and human-centered care that defines the art of nursing. Educationally, understanding the art of nursing is crucial for nursing students as it helps them realize the importance of treating patients as whole individuals with unique needs and feelings. By prioritizing the interpersonal and compassionate aspects of care, nurses can create meaningful connections with patients, enhance therapeutic outcomes, and improve overall patient satisfaction.

Correct Answer: A

Rationale: The correct answer is A) a multifaceted combination of physical, social, cultural, economic, and global factors. In nursing philosophy, the term 'environment' is comprehensive and includes a broad range of influences that impact an individual's health and well-being. This encompasses physical factors like air and water quality, social aspects such as support systems and community resources, cultural influences that shape beliefs and behaviors, economic conditions affecting access to healthcare, and global factors like climate change and infectious diseases. Option B) solely individualized influences is incorrect because it overlooks the interconnectedness between individuals and their surroundings. Nursing recognizes the importance of considering broader environmental factors beyond individual characteristics. Option C) physical surroundings without cultural implications is incorrect as it neglects the significant role culture plays in shaping health behaviors and outcomes. Culture influences perceptions of health, illness, and healthcare practices. Option D) exclusively cultural values and customs without broader influences is inaccurate because it disregards the impact of other environmental factors such as social and economic conditions on health outcomes. Health is influenced by a complex interplay of various environmental elements. Educationally, understanding the holistic concept of the environment in nursing philosophy is vital for community health nurses. By acknowledging and addressing the multifaceted nature of the environment, nurses can develop more effective interventions that promote health and prevent disease within communities. This knowledge enables nurses to advocate for policies and practices that consider the diverse factors influencing health outcomes at individual, community, and global levels.

Correct Answer: A

Rationale: In community health nursing, it is crucial to understand the appropriate care for clients in various situations, including when physical restraints are used. The correct answer, option A - Check circulation every 15-30 minutes, is essential because when a client is placed in four-point restraints, there is a risk of impaired circulation due to restricted movement. Regularly assessing circulation ensures the client's safety and prevents complications such as pressure ulcers or circulatory issues. Option B - Assess temperature frequently, though important in general patient care, is not the priority in this situation where circulation is at higher risk. Option C - Socialize with other patients once a shift, and Option D - Provide diversional activities, are not appropriate when a client is restrained as the primary focus should be on ensuring their physical well-being and safety. Educationally, understanding the rationale behind the correct answer reinforces the importance of frequent monitoring and assessment in nursing care, especially in situations where client safety is a concern. It also highlights the prioritization of care tasks based on the client's immediate needs to prevent complications and promote optimal outcomes.