During an assessment, the client reports pain in the internal rotation of her right shoulder. This will most likely affect which of the following activities?

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Fastening her bra behind her back. When a client reports pain in the internal rotation of the right shoulder, it indicates limited mobility in that specific movement. Fastening a bra behind the back requires significant internal rotation of the shoulder, making this activity the most likely to be affected. Option A) Brushing the back of her hair primarily involves shoulder flexion and abduction, not internal rotation, so it is less likely to be impacted by pain in internal rotation. Option C) Reaching for a dish on a low shelf involves shoulder flexion and slight abduction, but not primarily internal rotation, so it is less likely to be affected. Option D) Mopping the floor involves a combination of shoulder movements, including flexion, abduction, and internal rotation, but it is not as dependent on internal rotation as fastening a bra behind the back. In an educational context, understanding how pain or limited mobility in specific shoulder movements can impact daily activities is crucial for nursing practice. It helps nurses anticipate and address potential challenges faced by clients, enabling them to provide more targeted and effective care.

Correct Answer: A

Rationale: The correct answer is A) Ask the patient if she is having pain. In this scenario, the nurse should first assess if pain is a contributing factor to the elevated blood pressure reading. Pain can cause an increase in blood pressure due to the body's stress response. By addressing pain, the nurse may be able to lower the blood pressure without the need for medication intervention. This approach aligns with the nursing principle of holistic care, addressing the underlying cause rather than just treating symptoms. Option B) Report the elevated BP to the physician is not the immediate action needed in this situation. It is essential to investigate potential causes before involving the physician to determine the appropriate course of action. Option C) Return within 30 minutes to check the blood pressure may not address the underlying issue of pain if it is a contributing factor to the elevated blood pressure. It is important to address potential causes promptly to ensure the patient's well-being. Option D) Check orthostatic blood pressure is not the priority in this situation. While orthostatic blood pressure may provide valuable information, addressing the potential pain-related elevation in blood pressure should take precedence. In an educational context, understanding the relationship between pain and vital signs is crucial for nursing practice. Nurses must be able to assess and address pain effectively to provide comprehensive care to their patients. This scenario highlights the importance of critical thinking and prioritization in nursing assessments to ensure the best outcomes for patients.

Correct Answer: B

Rationale: In the context of nursing practice, choosing an appropriate plan of care and devising interventions to achieve desired outcomes for a patient with diabetes requires the application of cognitive nursing skills. Cognitive skills involve critical thinking, problem-solving, decision-making, and clinical reasoning. In this scenario, the nurse must analyze the patient's condition, understand the implications of diabetes, consider the best course of action based on evidence-based practice, and adapt the plan of care as needed. Option A, technical skills, refer to the hands-on, procedural aspects of nursing such as inserting a catheter or administering medication. While these skills are essential, they are not the primary focus when creating a care plan for a patient with a chronic condition like diabetes. Option C, interpersonal skills, involve communication, empathy, and building therapeutic relationships with patients. While these skills are crucial for effective patient care, they are not the primary skills being utilized in this scenario. Option D, ethical/legal skills, pertain to understanding and applying ethical principles and legal regulations in nursing practice. While these skills are important for providing ethical and legal care, they are not the primary skills demonstrated in developing a care plan for a patient with diabetes. Understanding the distinction between different types of nursing skills is essential for nurses to provide comprehensive and effective care to their patients. By recognizing the cognitive skills required in care planning, nurses can improve patient outcomes and enhance the quality of care provided in clinical practice.

Correct Answer: C

Rationale: The correct answer to the question is option C) being licensed by the State Board of Nursing. This is because, after graduating from an accredited nursing program and passing the NCLEX exam, obtaining a license from the State Board of Nursing is what legally authorizes an individual to practice nursing within that particular state. Option A) enrolling in an advanced degree program is incorrect because pursuing an advanced degree does not grant a nurse the legal right to practice. While further education can enhance knowledge and skills, it does not replace the need for a valid nursing license. Option B) filing NCLEX results in the county of residence is incorrect as the NCLEX results are typically sent directly to the State Board of Nursing, not to the county of residence. The process of obtaining a nursing license involves applying to the State Board of Nursing, not the county. Option D) having a signed letter confirming graduation is incorrect because graduation confirmation alone does not grant the legal right to practice nursing. It is the nursing license issued by the State Board of Nursing that is legally binding. In an educational context, understanding the process of licensure is crucial for nursing students as it directly impacts their ability to practice safely and legally. Emphasizing the importance of obtaining a license from the State Board of Nursing post-graduation ensures that students are aware of the necessary steps to become registered nurses and highlights the significance of regulatory requirements in the nursing profession.