Correct Answer: C

Rationale: The correct answer is C: Respect the patient's privacy by closing the door. Closing the door ensures confidentiality and privacy during the health history interview. This step is crucial to maintain the patient's dignity and foster trust. Setting time limits (choice A) may compromise the quality of the assessment. Avoiding upsetting questions (choice B) may hinder the gathering of important information. Standing at the foot of the bed for eye contact (choice D) is not appropriate as it may seem confrontational and uncomfortable for the patient.

Correct Answer: C

Rationale: The correct answer is C because giving genuine praise to the client for trying to improve dietary habits can positively reinforce their efforts and motivation to continue making healthy choices. This positive reinforcement can help the client feel supported and encouraged in their weight reduction and dietary goals. Choice A is incorrect because avoiding interaction during meals may make the client feel isolated and unsupported. Choice B is incorrect because ignoring the client's requests for high-fat or high-calorie foods may lead to feelings of deprivation and resistance to dietary changes. Choice D is incorrect because warning the client about potential negative consequences of being overweight can induce fear and may not be effective in promoting long-term behavior change.

Correct Answer: A

Rationale: The correct answer is A because it shows empathy by asking for the patient's thoughts first, respecting their autonomy. It promotes open communication and understanding of the patient's concerns. Choice B may come off as judgmental or invasive. Choice C imposes the nurse's opinion on the patient, disregarding their feelings. Choice D is incomplete.

Correct Answer: B

Rationale: The correct answer is B: Perform a needle thoracotomy with a 14- to 16-gauge catheter needle. Rationale: 1. Tension pneumothorax is a life-threatening emergency where air accumulates in the pleural space, causing lung collapse and increased pressure in the chest. 2. The standard treatment for tension pneumothorax is needle thoracostomy, which involves inserting a large-bore needle into the chest to release the trapped air. 3. In this scenario, Mr. U is in respiratory distress despite receiving high-flow oxygen, indicating a significant problem with ventilation that requires immediate intervention. 4. Performing a needle thoracotomy will rapidly decompress the tension pneumothorax, relieving pressure on the heart and lungs, and improving respiratory function. 5. This action takes precedence over other options such as removing the occlusive dressing, initiating CPR, or calling for intubation equipment, as immediate decompression is crucial in managing tension pneumoth

Correct Answer: B

Rationale: The correct answer is B: Assess whether the client is comfortable with eye contact. This is important because different cultures have varying views on eye contact, and it is crucial to respect the client's preferences. By assessing the client's comfort level with eye contact, the nurse can establish rapport and demonstrate cultural sensitivity. A: Maintaining eye contact may not be culturally appropriate for some Native American clients, so it is important to assess their comfort level first. C: Avoiding prolonged eye contact assumes all Native American clients have the same preferences, which is not accurate. D: Sitting next to the patient to avoid eye contact may be perceived as distancing or disrespectful in some cultures.