During a community health fair, a former patient reports not smoking for 6 months since receiving the smoking cessation material while hospitalized. In which way should the nurse process this patient's report?

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Question 1 of 5

During a community health fair, a former patient reports not smoking for 6 months since receiving the smoking cessation material while hospitalized. In which way should the nurse process this patient's report?

Correct Answer: A

Rationale: Quitting smoking for 6 months post-intervention indicates a positive health impact , reflecting nursing's influence on wellness. It's not about socializing , hospital recovery , or role-modeling directly. Processing as A recognizes the material's effectiveness, aligning with health promotion goals, making it the appropriate interpretation.

Question 2 of 5

Once the nurse has considered all possible collaborative and client problems, what action does the nurse take next?

Correct Answer: D

Rationale: After identifying problems, the nurse prioritizes hypotheses to focus on the most urgent or impactful issues, per Tanner's Clinical Judgment Model. Acting on cues is premature without prioritization. Outcomes follow prioritization, and solutions come after. Prioritizing ensures efficient, targeted care, weighing severity and resources, making it the next logical step.

Question 3 of 5

A nurse caring for an older client in the hospital is concerned the client is not competent to give consent for upcoming surgery. What action by the nurse is best?

Correct Answer: B

Rationale: If competency is in doubt, discussing concerns with the healthcare team ensures a collaborative, ethical approach to assess capacity and determine next steps, per legal and hospital protocols. Calling APS is premature without evidence of abuse. Blocking consent oversteps the nurse's role without team input. Family consent requires legal guardianship, not assumed. Team discussion protects the client's rights while addressing competency, making it the best action.

Question 4 of 5

A nurse caring for an older adult has provided education on high-fiber foods. Which menu selection by the client demonstrates a need for further review?

Correct Answer: C

Rationale: Older adults need 35-50g of fiber daily, per the document. White rice is low-fiber, unlike barley , beans , and whole-wheat bread , indicating a need for more education. Selecting C shows misunderstanding, as fiber prevents constipation a common issue making it the choice requiring review.

Question 5 of 5

A nurse caring for an older client on a medical-surgical unit notices the client reports frequent constipation and only wants to eat softer foods such as rice, bread, and puddings. What assessment would the nurse perform first?

Correct Answer: C

Rationale: Soft food preference and constipation suggest dental issues, per the document, making oral assessment first to check dentures or teeth. Bowel sounds follow, skin turgor assesses hydration, and weight tracks nutrition secondary steps. C identifies the cause, guiding intervention, making it the priority.

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