How can a nurse promote comfort for a patient who is experiencing dyspnea?

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Question 1 of 5

How can a nurse promote comfort for a patient who is experiencing dyspnea?

Correct Answer: B

Rationale: Elevating the head of the bed and providing breathing exercises promotes comfort in dyspnea by opening airways, easing lung effort, and teaching control over breath, reducing panic and strain. Rapid, shallow breathing worsens oxygen deficit and fatigue. Sedatives might calm but suppress respiration, risking decline. Supine positioning compresses lungs, intensifying distress. Nurses use Fowler's position and pursed-lip techniques, enhancing airflow and comfort, a dual approach vital for respiratory relief.

Question 2 of 5

A health care aide may be able to work in all the following facilities except:

Correct Answer: D

Rationale: A funeral home is not a typical workplace for a health care aide, as their role centers on living clients providing personal care in group homes (e.g., disabled residents), acute care (e.g., hospital support), and long-term care (e.g., nursing homes). Funeral homes involve post-mortem tasks like embalming, outside an aide's scope of supporting daily living or recovery. Aides assist with ADLs and observation, not deceased care, making this an outlier. Knowing work settings ensures aides pursue relevant roles, aligning skills with client needs, not misapplying them in unrelated fields.

Question 3 of 5

When recording care-related data, all of the following are correct except:

Correct Answer: D

Rationale: Erasing or whiting out errors is incorrect because it compromises the integrity of medical records, which must remain accurate and tamper-proof for legal and care continuity purposes. Using ink ensures permanence, legible writing aids clarity, and including time, date, and initials tracks accountability standard practices for PSWs. Altering records by erasure risks miscommunication or errors in client care, like missing a medication dose, and could violate regulations. PSWs must instead strike through mistakes with a single line, initial, and correct them visibly, preserving transparency. This distinction is critical in training, as accurate documentation supports client safety, team coordination, and legal defensibility, unlike erasable methods that obscure the care history.

Question 4 of 5

During an exchange of information, a message is sent:

Correct Answer: A

Rationale: A message goes from speaker to receiver in communication, not receiver to speaker , speaker to speaker , or without feedback . PSWs use this e.g., explaining care to a client expecting feedback like a nod. Misunderstanding this risks one-way communication, missing client input. Effective exchange ensures needs are heard and met, like adjusting care based on responses, a daily PSW skill enhancing rapport and accuracy in client interactions.

Question 5 of 5

In a community setting, who usually assesses, monitors, and evaluates the client's needs and coordinates the services of the health care team?

Correct Answer: B

Rationale: The case manager typically coordinates community care, assessing and monitoring needs, unlike physicians (A, treatment-focused), therapists (C, rehab), or social workers (D, support). PSWs report to them e.g., on ADL changes ensuring integrated services. Misidentifying this risks disjointed care; case managers unify efforts. Their role streamlines PSW tasks, aligning resources to client needs, a critical link in community health teamwork.

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