Correct Answer: A

Rationale: This is the correct answer because the RN as a teacher aims to promote health literacy self-management and shared decision-making among patients and their families. By helping people to become empowered to take care of their health the RN can facilitate positive health outcomes and prevent complications. Explaining what nurses do is secondary to patient empowerment. Discharge instructions are a component of teaching not the main goal. Teaching treatments for quicker discharge focuses on hospital efficiency rather than long-term health empowerment.

Correct Answer: A

Rationale: Fall prevention is the most important safety measure for an elderly client with osteoporosis as falls can result in fractures and other complications. The nurse should assess the client’s risk factors for falls such as impaired vision balance or mobility and implement interventions to reduce them such as providing adequate lighting removing clutter and using assistive devices. Other measures are important but secondary to preventing fractures from falls in osteoporosis.

Correct Answer: B

Rationale: Situational stress is caused by a particular situation or event that the person faces such as a test. These situations create pressure uncertainty or anxiety requiring adaptation. Environmental stress involves external factors like noise daily hassles are minor annoyances and episodic stress results from chronic stress exposure none of which fit this scenario.

Correct Answer: D

Rationale: The client will engage in desired activities without the pain level increasing above a pain scale level of 3 out of 10 within one month is a SMART goal. This goal is specific (desired activities pain level) measurable (pain scale) achievable (pain threshold of 3) relevant (enhances quality of life) and time-bound (within one month). Other options lack specificity measurability or time boundaries.

Correct Answer: B

Rationale: Using an appropriately sized blood pressure cuff is critical for clients with a BMI ≥ 30 to ensure accurate readings. Supine positioning can impair breathing in obese clients. Obesity does not indicate malnutrition/underweight. Frail bones are associated with osteoporosis not obesity though mobility issues may warrant fall precautions.