ATI Individual & Family Well Being: Adult

A nurse is reviewing discharge planning for several older adult clients. Which of the following clients should the nurse identify as the most likely to require additional health care services? A. A client who has severe arthritis and lives alone B. A client who has diabetes mellitus and lives alone C. A client who has a cognitive disorder and lives with their family D. A client who is scheduled for discharge to an acute rehab facility

A. A client who has severe arthritis and lives alone

A nurse is admitting a 60 year old client who has a history of chronic hypertension and hypercholesterolemia. The client reports that they live alone in a rural area, have been unemployed for six months, and have no been taking their medications as prescribed. Which factors should the nurse identify the client at high risk for health care disparities? Select all that apply. A. male gender identity B. employment status C. having free time D. medical history E. residence F. socioeconomic status

A. male gender identity B. employment status D. medical history E. residence F. socioeconomic status

A nurse is reviewing Medicare Part B with a client. Which of the following statements by the client indicates understanding? A. This covers admission to a long-term care facility B. This covers diagnostic testing and preventative treatment C. This will reduce my out of pocket costs D. This covers my prescription medications

B. This covers diagnostic testing and preventative treatment

A nurse is caring for several clients in a community health clinic. Which of the following clients should the nurse identify as at risk for transmitting HIV? A. a client who uses contraceptives B. a client who has unprotected intercourse C. a client who lives with an adult who has HIV D. a client who participates in oral intercourse

B. a client who has unprotected intercourse

A nurse is discussing care options with the family of an older adult client who is currently living with them. The family is concerned that the client will fall at home while they are at work. Which resources should the nurse recommend to the family? A. long term care facility placement B. home health care C. adult day care D. senior health center

C. adult day care

A community health nurse is obtaining a health history from a client who has heart disease. Which of the following findings should the nurse identify as a modifiable risk factor? A. family history of diabetes B. 75 years of age C. high fat diet D. hearing loss

C. high fat diet

A home health nurse is conducting a home visit for a client and their caregiver. Which of the following statements by the caregiver indicates stress? Select all that apply. A. I've been depressed lately. B. I'm tired most of the day C. I'm very detail oriented. D. I often blame myself for things E. I am hopeful about the future F. I've been keeping to myself lately.

A. I've been depressed lately. B. I'm tired most of the day D. I often blame myself for things F. I've been keeping to myself lately.

A nurse is admitting a client whose adult child provides full time care for them. Which of the following tasks should the nurse anticipate the adult child provides for the client? Select all that apply. A. preparing meals B. maintaining safety C. performing procedures D. providing companionship E. bathing and dressing F. making health care decisions

A. preparing meals B. maintaining safety D. providing companionship E. bathing and dressing

A nurse is reviewing a client's health record. Which of the following findings should the nurse identify as a risk factor for breast cancer? A. family history of heart disease B. receiving yearly mammograms C. use of hormonal therapy D. participation in aerobic activities three times weekly

C. use of hormonal therapy

A nurse is caring for an older adult client and is reviewing the health record. Which of the following findings should the nurse identify as a risk factor for chronic heart disease? Select all that apply A. ethnicity: black american B. smoker- 1 pack per day C. occupation: retired D. BMI 30 E. residence: rural F. lifestyle: denies participating in aerobic activity

A. ethnicity: black american B. smoker- 1 pack per day D. BMI 30 F. lifestyle: denies participating in aerobic activity

A nurse is caring for a client who has a terminal illness. Which of the following actions would be priority for the nurse? A. ensure the client gets adequate rest B. encourage the client to make their own decisions about their care C. involve the client's family in all aspects of decision making D. arrange for a chaplain visit if desired

B. encourage the client to make their own decisions about their care

A nurse is caring for a client who is receiving inpatient hospice services and requests additional pain medication. Which of the following actions should the nurse take? A. provide distraction measures B. obtain a prescription to administer more analgesics C. inform the client that more medication is not indicated D. administer a prescribed sedative for the client

B. obtain a prescription to administer more analgesics

A nurse is teaching about palliative care with a client who has recently developed Parkinson's disease. Which of the following statements by the client indicates understanding? A. palliative care services should begin at the beginning of my treatment B. I should start palliative care services if I have side effects of therapy C. I should start palliative care service if my treatment is not effective D. palliative care services should begin 6 months following my treatment.

A. palliative care services should begin at the beginning of my treatment

A public health nurse is discussing wellness initiatives to assist with wellness promotion by the Department of Health and Human Services with a newly hired nurse. Which of the information should the nurse discuss? A. medicare B. Healthy People 2030 C. Medicaid D. national institute of aging

B. Healthy People 2030

A nurse is reinforcing dietary teaching with a 45 year old client whose sibling died from colon cancer. Which of the following statements by the client indicates an understanding of the teaching? A. I can eat grilled steak and baked potato for dinner. B. I can eat broiled chicken breast and a cup of blueberries for dinner C. I can eat beef stew and a cup for boiled rice for dinner D. I can eat a salami sandwich and a cup of yogurt for dinner

B. I can eat broiled chicken breast and a cup of blueberries for dinner

A nurse is preparing to discuss palliative care with nurses caring for a minority population group. Which of the following information should the nurse include? A. minority groups are more likely to utilize palliative care services B. minority groups are less likely to access palliative care services C. minority groups are less likely to experience death in hospital setting D. minority groups do not have disparities in palliative care services

B. minority groups are less likely to access palliative care services

A nurse is providing discharge instructions to a family of a client who is postoperative from a knee surgery. A family member informs the nurse that they are concerned that they will not be able to care for client because of employment. Which of the following responses should the nurse make? A. maybe we can ask the doctor to let the client stay in the hospital longer B. you can use the FMLA that is available through your job C. you can hire someone to help care for them while you work D. I'm sorry you are concerned about that. Here is a referral to a support group.

B. you can use the FMLA that is available through your job

A nurse is discussing care options with the family of an older adult who has dementia. The family states they will provide for the client by using available family members. Which of the following family members should the nurse identify as most likely to be the client's full time caregiver? A. The client's grandchild who is a young adult part-time college student B. The client's son who is a middle-age and is currently employed. C. The client's daughter who is a middle age and is currently employed D. The client's sibling who is middle age and currently employed

C. The client's daughter who is a middle age and is currently employed

A nurse is caring for several clients who all have caregivers. Which of the following clients should the nurse identify as most likely to have their caregiver experience caregiver stress? A. a middle aged client whose caregiver is their parent who utilizes adult day care during the week B. an older adult client whose grandchild is the paid caregiver several days per week C. an older adult whose caregiver is their middle age adult child who works full time and has a school aged child D. an older adult client with a chronic condition whose caregiver is their spouse who is retired and has a family that lives nearby.

C. an older adult whose caregiver is their middle age adult child who works full time and has a school aged child

A nurse is reinforcing with the family of a client who has terminal illness. Which health care management options should the nurse include for discussion? Select all that apply. A. hospice care in acute care facility B. hospice care in a rehabilitation center C. hospice care in the home D. hospice care in an inpatient hospice center E. hospice care arranged through the physician's office F. hospice care at an outpatient center

A. hospice care in acute care facility C. hospice care in the home D. hospice care in an inpatient hospice center E. hospice care arranged through the physician's office