Best NCLEX Next Gen Prep - Nurselytic

Correct Answer: A

Rationale: During a routine health screening for a 1-year-old child, the most critical topic for the nurse to discuss with the parents is the potential hazards of accidents. Accidents are the primary source of injury in children and can be life-threatening. Discussions about appropriate nutrition should have been addressed during the weaning process, while the purchase of appropriate shoes is important but not life-threatening.
Toilet training typically begins around 2 years of age, so 1 year of age is too early to discuss it.
Therefore, the focus should be on educating parents about accident prevention to ensure the child's safety and well-being.

Correct Answer: B

Rationale: Kleinman's Explanatory Model of Health and Illness is significant because it emphasizes the crucial role that popular and folk domains of influence play in shaping individuals' understanding of health and illness. Kleinman distinguishes between disease, which is the biomedical understanding of health problems, and illness, which is the individual's personal interpretation of their health condition. By focusing on the cultural factors that influence these domains of influence, Kleinman's model underscores the impact of cultural beliefs and practices on health perceptions.
Choice A is incorrect because the model goes beyond just family health beliefs.
Choice B is more precise as it emphasizes the broader influence of culture.
Choice C highlights the correct significance of popular and folk domains of influence, making it the correct choice.
Choice D is incorrect as the model's significance lies in cultural domains, not educational structure.

Correct Answer: B

Rationale: The correct statement for the nurse to make to the client is 'If you notice an enlarged testicle or a lump, you need to notify the physician.' During a shower or bath is the best time to examine the testes because warm temperatures make the testes hang lower in the scrotum. The testes should feel round and smooth, without lumps. Self-examination should be performed monthly to detect any abnormalities early. The physician needs to be notified immediately if any abnormal findings are noticed.
Choice A is incorrect because the best time for TSE is during or after a warm shower or bath, not just before.
Choice C is incorrect as the testicle should feel round, smooth, and without lumps, not egg-shaped and lumpy.
Choice D is incorrect as monthly self-examinations are recommended, not every 2 months.

Correct Answer: B

Rationale: The nurse should begin by asking the client about her menstrual history as it is usually nonthreatening. This information can provide insights into the client's reproductive health and any irregularities. Menstrual history is a common starting point for gynecological assessments and can help in understanding the client's overall health status. Asking about sexual history may be more sensitive and personal, not always appropriate to start with. Obstetrical history pertains to pregnancies and may not be relevant if the client has not been pregnant. Inquiring about the presence of vaginal drainage is important but is usually addressed after gathering more general information about the client's health.

Correct Answer: C

Rationale: The goals of palliative care include choices A, B, and D.
Choice C, 'no interventions are needed because the client is near death,' is not part of palliative care. Palliative care involves giving clients with life-threatening illnesses the best quality of life possible, taking care of the whole person"?body, mind, spirit, heart, and soul, and supporting the needs of the family and client. Interventions are crucial in palliative care to ensure the comfort and well-being of the client until the end of life.
Therefore, the correct answer is that no interventions are needed because the client is near death.