ATI Enage: Adults
A nurse is providing discharge instructions to a family of a client who is postoperative from 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?
"You can use FMLA that is available through your job." FMLA allows an employee who is taking care of a seriously ill loved one to take a leave from their job and their position will be protected.
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 client who has unprotected intercourse Unprotected intercourse is a risk factor for the development of sexually transmitted infections and HIV.
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?
Obtain a prescription to administer more analgesics. Obtaining a prescription for additional pain medication would assist with minimizing the client's discomfort, which is a goal of hospice therapy.
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?
"I can eat broiled chicken breast and a cup of blueberries for dinner." The client is at risk for colon cancer because of their family history. The nurse should inform the client to consume a diet with minimal red meat, but high in fruits and vegetables, which are beneficial to colon health.
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.
"I've been depressed lately." "I'm tired most of the day." "I often blame myself for things." "I've been keeping to myself lately."
A nurse is reviewing Medicare Part B with a client. Which of the following statements by the client indicates undestanding?
"This covers diagnostic testing and preventative treatment." Medicare Part B will cover medically necessary services and preventative services, including durable medical equipment, to provide health maintenance and prevention of disease.
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 resource should the nurse recommend for the family?
Adult day care Adult daycare provides assistance and support, and promotes an active lifestyle for older adults during the day. The client would benefit from a safer, supervised environment during the day which would decrease the risk for injury.
A nurse is caring for a client who has a terminal illness. Which of the following actions would be priority for the nurse?
Encourage the client to make their own decisions about their care. According to evidence-based practice the nurse should first ensure that the client has pertinent information and resources available to make their own end-of-life decisions and overall decisions about their care. This action promotes autonomy.
A nurse is discussing care options with the family of an older adult client who has dementia. The family states they will provide care 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?
The client's daughter who is of middle age and is currently employed. Statistical data reveals that women are more likely to become full-time caregivers than males. Other evidence suggest that children of the client are more likely to be caregivers as well.
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?
An older adult client whose caregiver is their middle-aged child who works full time and has a school aged child This caregiver assists with providing care for their parent and child and works full time. Therefore, this caregiver would be at great risk for caregiver stress because of the inability to balance work, caregiving, and other aspects of life.
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.
Ethnicity: Black American Smoker - 1 pack per day BMI 30 Lifestyle: denies participating in aerobic activity
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?
Minority groups are less likely to access palliative care services. Minority populations are considered vulnerable and less likely to access to palliative care services.
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?
High-fat diet Eating a diet that is high in fat is a modifiable risk factor. The client can choose to change this lifestyle behavior and consume a diet that is lower in fat.
A nurse is reinforcing teaching with the family of a client who has a terminal illness. Which health care management options should the nurse include for discussion? Select all that apply.
Hospice care in an acute care facility Hospice care in the home Hospice care in an inpatient hospice center Hospice care arranged through the physician's office
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?
"Palliative care services should begin at the beginning of my treatment." Palliative care should begin at the beginning of treatment for a chronic condition, as the goals of the program can best be met if the treatment is initiated early.
A nurse is reviewing discharge planning for several older adult clients. Which of the following clients should the nurse identify as most likely to require additional health care services?
A client who has severe arthritis and lives alone. A client who has severe arthritis and lives alone would be at risk for injury, such as from falls. Therefore, the nurse should recommend additional community care services to assist the client with functioning independently in their home.
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?
Healthy People 2030 Health people is an initiative that has a goal of health promotion and disease prevention for all people, including those who have health care disparities or risk factors.
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 not been taking their medications as prescribed. Which factors should the nurse identify as placing the client at high risk for health care disparities? Select all that apply.
Male gender identity Employment status Medical history Residence Socioeconomic status
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.
Preparing meals Maintaining safety Providing companionship 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?
Use of hormonal therapy Risk factors for breast cancer include sedentary lifestyle, drinking alcohol, female gender, using birth control or hormone therapy after menopause, not having children or having children after 30, tall stature, family history, exposure to DES.
