During an intake assessment, a nurse asks both physiological and psychosocial questions. The client angrily responds, I'm here for my heart, not my head problems. Which is the nurse's best response?

Correct Answer: C

Rationale: Rationale: Answer C is correct because it explains the relevance of psychosocial questions to the client's medical condition. It validates the client's concerns by linking psychological factors, such as stress, to physical health. This response emphasizes the interconnectedness of physical and mental well-being, fostering client understanding and cooperation. Summary of Other Choices: - A: This response dismisses the client's concerns and does not address the importance of psychosocial factors in health. - B: This response does not provide information on the connection between psychological factors and physical health, which may not address the client's resistance. - D: This response disregards the significance of psychosocial questions in the assessment and may hinder the client's overall understanding of their health.

Correct Answer: D

Rationale: The correct answer is D because an inaccurate, incomplete, and inadequate medical record can lead to errors in patient care, misdiagnosis, incorrect treatment, and legal consequences. Inaccurate information can harm the patient and jeopardize the healthcare provider's credibility. An incomplete record may result in crucial details being missed, impacting decision-making. An inadequate record fails to provide a comprehensive picture of the patient's health history, leading to suboptimal care. Choices A, B, and C are incorrect because a voluminous record, subpoenaed record, or missing record can be managed or addressed without directly causing harm to the patient or healthcare provider.

Correct Answer: D

Rationale: The correct answer is D: postoperative respiratory function. Smoking 3 packs of cigarettes a day for 10 years can lead to respiratory issues such as decreased lung function, increased risk of respiratory infections, and impaired wound healing due to reduced oxygen levels in the blood. This will negatively impact postoperative respiratory function, making it harder for the client to recover and potentially leading to complications like pneumonia. A: Perioperative anxiety and stress are not directly related to smoking habits but can be influenced by various factors such as fear of surgery or anesthesia. B: Delayed coagulation time is more related to factors like medication use or underlying medical conditions affecting blood clotting, not smoking habit. C: Delayed wound healing can be affected by smoking due to reduced blood flow and oxygen delivery, but it is not the primary concern in this scenario compared to postoperative respiratory function.

Correct Answer: D

Rationale: Step-by-step rationale for why option D is correct: 1. In an asthmatic attack, leaning forward helps to open up the airways. 2. Leaning forward at 30-40 degrees assists in improving airflow during exhalation. 3. This position also helps to reduce the pressure on the diaphragm, making breathing easier. 4. It promotes better oxygen exchange and reduces the feeling of breathlessness. Summary of why other choices are incorrect: A. Sitting in high-Fowler's position with extended legs does not facilitate optimal airflow during an asthmatic attack. B. Sitting up with shoulders back may not provide the necessary support for breathing during an asthmatic attack. C. Pushing on the abdomen during exhalation does not directly address the airway obstruction that occurs in an asthmatic attack.

Correct Answer: B

Rationale: The correct answer is B. In the operating room (OR), the team typically consists of the surgeon, assistants, scrub nurse, circulating nurse, and anesthesiologist. 1. Surgeon: Leads the surgical team and performs the procedure. 2. Assistants: Assist the surgeon during the procedure. 3. Scrub nurse: Provides sterile instruments and supplies to the surgical team. 4. Circulating nurse: Manages the overall OR environment, including infection control. 5. Anesthesiologist: Administers anesthesia and monitors the patient's vital signs. Other choices are incorrect: A: Includes a radiologist and an orderly, who are not typically part of the surgical team in the OR. C: Includes a pathologist, who is not usually present during surgery. D: Includes an intern, who may not have a defined role in the surgical team.