Question

A charge nurse is providing an in-service to a group of nurses about self-care. Which of the following information should the nurse include in the teaching?

Answer 1

Correct Answers:

Bring healthy meals to work

Rationale :

💎 Bringing healthy meals to work supports nutrition, energy, and emotional well-being during long shifts.

💎 Nurses often experience skipped meals or poor food choices because of workload and time pressure.

💎 Planning nutritious meals helps maintain blood glucose stability, concentration, and stamina.

💎 Good self-care improves resilience and reduces burnout risk.

💎 Nurses who practice self-care are better prepared to provide safe and effective client care.

Exercise at least once a week

💎Exercise once weekly is not enough for general health promotion.

💎Regular physical activity should occur several times per week.

Get at least 5hr of sleep every night

💎Five hours of sleep is usually inadequate for recovery and cognitive function.

💎Adults generally need about 7 to 9 hr of sleep nightly.

Restrict daily water intake

💎Restricting water intake can cause dehydration and fatigue.

💎Adequate hydration is an important part of self-care.

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Answer 2

Correct Answers:

Weight
Sedentary lifestyle
Diet
Alcohol consumption

Rationale :

Weight

🎯 Weight is modifiable because lifestyle changes, nutrition, physical activity, and medical support can improve weight status.

🎯 Maintaining a healthy weight lowers the risk for diabetes, hypertension, heart disease, stroke, and joint problems.

🎯 Nurses should encourage realistic goals, balanced nutrition, and regular follow-up.

🎯 Weight management should be individualized and respectful to support long-term adherence.

🎯 Improving weight-related risk can significantly improve overall health outcomes.

Sedentary lifestyle

🎯 Sedentary lifestyle is modifiable because activity level can be improved through planned movement and exercise.

🎯 Regular activity improves cardiovascular health, glucose control, circulation, mood, and muscle strength.

🎯 Even small increases in activity can reduce disease risk when done consistently.

🎯 The nurse should encourage activities that match the client’s ability and safety level.

🎯 Reducing sedentary behavior is a major preventive health strategy.

Diet

🎯 Diet is modifiable because food choices can be changed through education and support.

🎯 A balanced diet helps prevent obesity, diabetes, hypertension, dyslipidemia, and cardiovascular disease.

🎯 Nurses should teach clients to increase fruits, vegetables, whole grains, lean proteins, and appropriate fluid intake.

🎯 Diet teaching should also consider culture, finances, preferences, and health conditions.

🎯 Healthy nutrition is one of the most important controllable health behaviors.

Alcohol consumption

🎯 Alcohol consumption is modifiable because intake can be reduced, limited, or stopped.

🎯 Excess alcohol increases the risk for liver disease, hypertension, injuries, cancers, and medication interactions.

🎯 Screening and counseling can help clients identify risky alcohol use.

🎯 The nurse should provide nonjudgmental education and referral when needed.

🎯 Reducing alcohol intake can improve both physical and mental health.

Family history

🎯Family history is not modifiable because it is inherited and cannot be changed.

🎯It is still important because it helps identify clients who need earlier screening and prevention.

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Answer 3

Correct Answers:

Stress

Rationale :

✍️ Stress is a common precipitating factor for both tension-type headaches and cluster headaches.

✍️ Tension headaches are often linked to muscle tension, emotional strain, and daily stressors.

✍️ Cluster headaches can also be triggered or worsened by stress-related autonomic responses.

✍️ Identifying triggers helps the client reduce headache frequency and severity.

✍️ Stress management, sleep regulation, and avoidance of known triggers are important teaching points.

Depression

✍️Depression can be associated with chronic headache patterns.

✍️However, it is not the most common shared precipitating factor for both tension-type and cluster headaches.

Poor posture

✍️Poor posture is strongly linked to tension-type headaches due to muscle strain.

✍️It is not a common precipitating factor for cluster headaches.

Smoking

✍️Smoking is strongly associated with cluster headaches.

✍️It is not the common precipitating factor shared with tension-type headaches.

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Answer 4

Correct Answers:

Hypertension

Rationale :

🔷 Hypertension is a major modifiable risk factor for stroke.

🔷 Elevated blood pressure damages blood vessels and increases the risk for clot formation, vessel rupture, and reduced cerebral perfusion.

🔷 Controlling blood pressure through medication, diet, exercise, and lifestyle changes lowers stroke risk.

🔷 The nurse should teach the client about sodium reduction, medication adherence, weight control, and regular monitoring.

🔷 Because hypertension can be treated and controlled, it is considered modifiable.

Parent who has cardiovascular disease

🔷A family history of cardiovascular disease is not modifiable.

🔷It increases risk but cannot be changed.

Client’s age

🔷Age is a non-modifiable risk factor for stroke.

🔷Risk increases with age, but the client cannot change this factor.

History of sickle cell disease

🔷Sickle cell disease is not modifiable because it is inherited.

🔷It can increase stroke risk, but it cannot be eliminated through lifestyle change.

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Answer 5

Correct Answers:

The ACA reduces disparities in health care.

Rationale :

✅ The Affordable Care Act expanded access to health insurance and preventive services.

✅ One goal of the ACA is to reduce health care disparities by improving access for underserved populations.

✅ The ACA prevents denial of coverage based on pre-existing conditions.

✅ It also supports preventive care, Medicaid expansion in participating states, and essential health benefits.

✅ Nurses should understand the ACA because insurance access affects prevention, treatment, and continuity of care.

Individuals must qualify to participate in ACA insurance coverage.

✅ The ACA marketplace is designed to increase access to coverage, not restrict it only to a small qualifying group.

✅ Eligibility rules vary, but the statement is too limiting.

Individuals with pre-existing conditions are not eligible for ACA coverage.

✅ The ACA protects individuals with pre-existing conditions from being denied coverage.

✅ This statement is the opposite of ACA protections.

The ACA is primarily for individuals requiring tertiary care.

✅ The ACA emphasizes access to insurance, preventive care, and essential health benefits.

✅ It is not primarily limited to tertiary care services.

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Answer 6

Correct Answers:

Socioeconomic

Rationale :

🟢 The client’s concern about affording medications is a socioeconomic factor affecting health.

🟢 Socioeconomic factors include income, employment, housing stability, education, insurance, and access to resources.

🟢 Limited finances can lead to skipped doses, delayed refills, or untreated illness.

🟢 The nurse should connect the client with medication assistance programs, social work, or community resources.

🟢 Addressing cost barriers improves adherence and health outcomes.

Health literacy

🟢Health literacy refers to the client’s ability to understand and use health information.

🟢The concern here is medication affordability, not understanding instructions.

Environmental

🟢Environmental factors include housing conditions, pollution, neighborhood safety, and exposure risks.

🟢Subsidized housing may be part of the client’s life situation, but the key issue is financial ability to afford medication.

Cultural

🟢Cultural factors include beliefs, values, traditions, and health practices.

🟢The client’s concern is cost, not cultural belief or practice.

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Answer 7

Correct Answers:

Maintain the head of the bed between 30° and 45°.

Rationale :

🟣 A client at risk for cerebral aneurysm rupture needs interventions that reduce intracranial pressure and prevent sudden pressure changes.

🟣 Keeping the head of the bed at 30° to 45° promotes venous drainage from the brain.

🟣 This positioning helps decrease cerebral congestion and supports safer cerebral perfusion.

🟣 The nurse should also reduce stimulation, prevent straining, manage pain, and monitor neurologic status.

🟣 Proper positioning is an important safety measure for clients at risk for aneurysm rupture.

Administer hypotonic intravenous solutions.

🟣Hypotonic fluids can shift fluid into brain cells and increase cerebral edema.

🟣They are not appropriate for clients at risk for increased intracranial pressure.

Reposition the client every shift.

🟣Repositioning only every shift is not frequent enough to protect skin and comfort.

🟣Position changes should also avoid abrupt movements that increase intracranial pressure.

Keep lights turned to medium level in the evening.

🟣Clients at risk for aneurysm rupture often need reduced stimulation.

🟣Bright or unnecessary stimulation can increase agitation and blood pressure.

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Answer 8

Correct Answers:

Genetics

Rationale :

🟡 Genetics is a non-modifiable risk factor because inherited traits cannot be changed.

🟡 Genetic factors can increase risk for conditions such as cancers, diabetes, heart disease, and autoimmune disorders.

🟡 Knowing genetic risk helps guide early screening and prevention planning.

🟡 The nurse should encourage clients with strong family or genetic risk to follow recommended screenings.

🟡 Although genetics cannot be changed, lifestyle choices can reduce overall disease risk.

Smoking

🟡Smoking is modifiable because the client can reduce or stop tobacco use.

🟡Smoking cessation lowers the risk for cardiovascular disease, cancer, and respiratory disease.

Sunbathing

🟡Sunbathing is modifiable because the client can reduce ultraviolet exposure.

🟡Using sunscreen and protective clothing lowers skin cancer risk.

Unhealthy diet

🟡An unhealthy diet is modifiable through nutrition changes and education.

🟡Improving diet can reduce risk for obesity, diabetes, and heart disease.

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Answer 9

Correct Answers:

Sunbathing

Rationale :

🔴 Sunbathing is a modifiable risk factor because the client can change ultraviolet exposure habits.

🔴 Excess UV exposure increases the risk for skin cancer, premature aging, and sunburn.

🔴 The nurse should teach use of sunscreen, protective clothing, shade, and avoidance of peak sunlight hours.

🔴 Reducing sun exposure is a practical prevention strategy.

🔴 Because the behavior can be changed, sunbathing is considered modifiable.

Family history

🔴Family history is non-modifiable because inherited risk cannot be changed.

🔴It remains important for screening and early detection.

Genetics

🔴Genetics are inherited and cannot be modified.

🔴Genetic risk can guide prevention but cannot be removed.

Age

🔴Age is a non-modifiable risk factor.

🔴The client cannot change age-related disease risk.

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Answer 10

Correct Answers:

The client admitted with diabetic ketoacidosis (DRA)
The client admitted for an exacerbation of Systemic Lupus Erythematosus (SLE)
The client admitted with untreated tuberculosis
The client admitted with cirrhosis secondary to chronic alcohol use

Rationale :

The client admitted with diabetic ketoacidosis (DKA)

🔵 The client admitted with diabetic ketoacidosis (DKA) is at risk for peripheral neuropathy because diabetes can damage peripheral nerves over time.

🔵 Chronic hyperglycemia injures small blood vessels that supply nerves, causing pain, numbness, tingling, and loss of sensation.

🔵 DKA signals poor glucose control, which increases the risk for diabetic complications.

🔵 The nurse should assess sensation, skin integrity, foot condition, and pain symptoms.

🔵 Prevention includes glucose control, foot care, and early reporting of numbness or wounds.

The client admitted for an exacerbation of Systemic Lupus Erythematosus (SLE)

🔵 The client admitted for an exacerbation of Systemic Lupus Erythematosus (SLE) is at risk because autoimmune inflammation can affect peripheral nerves.

🔵 SLE can cause neuropathy through vasculitis, immune-mediated nerve damage, or inflammation.

🔵 Clients may report burning pain, numbness, weakness, or altered sensation.

🔵 The nurse should monitor neurologic changes and functional ability during disease flares.

🔵 Prompt recognition helps prevent worsening disability and supports treatment adjustment.

The client admitted with untreated tuberculosis

🔵 The client admitted with untreated tuberculosis is at risk for peripheral neuropathy when treatment begins, especially with isoniazid therapy.

🔵 Isoniazid can cause vitamin B6 deficiency, which may lead to neuropathy.

🔵 Clients often receive pyridoxine supplementation to reduce this risk.

🔵 The nurse should monitor for tingling, numbness, and burning sensations in the hands or feet.

🔵 Early teaching improves medication safety and adherence during TB treatment.

The client admitted with cirrhosis secondary to chronic alcohol use

🔵 The client admitted with cirrhosis secondary to chronic alcohol use is at risk because chronic alcohol use can directly damage peripheral nerves.

🔵 Alcohol-related nutritional deficiencies, especially B vitamins, increase the risk for neuropathy.

🔵 Cirrhosis can worsen nutritional imbalance and toxin accumulation.

🔵 The nurse should assess gait, sensation, pain, and fall risk.

🔵 Nutritional support, alcohol cessation, and safety precautions are important care measures.

The client admitted with sleep apnea

🔵Sleep apnea primarily causes intermittent hypoxia, daytime sleepiness, pulmonary hypertension, and cardiovascular complications.

🔵It is not a common direct cause of peripheral neuropathy.

The client admitted with a hypertensive crisis

🔵Hypertensive crisis can cause stroke, kidney injury, heart failure, and retinal damage.

🔵It is not a typical primary risk factor for peripheral neuropathy.

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Custom Cumulative Ex BSN Cloned Assessment 1

No.

1 :
A charge nurse is providing an in-service to a group of nurses about self-care. Which of the following information should the nurse include in the teaching?

2 :
A nurse is providing teaching to a client about ways to improve their health. Which of the following modifiable risk factors should the nurse include? (Select All that Apply.)

3 :
A nurse is caring for a client who has headaches. In determining a diagnosis, which of the following precipitating factors is common in both tension-type headaches and cluster headaches?

4 :
A nurse is reviewing the electronic medical record of a middle-aged client who was admitted following a stroke. Which of the following findings should the nurse identify as a modifiable risk factor for stroke?

5 :
A nurse is preparing to provide education to a client about the Affordable Care Act (ACA). Which of the following information should the nurse include?

6 :
A nurse is providing discharge instructions to a client who lives in subsidized housing and is concerned about being able to afford their medications. Which of the following factors should the nurse identify is affecting the client's health?

7 :
A nurse is providing care for a client who is at risk of cerebral aneurysm rupture. Which of the following interventions should the nurse include in the care plan?

8 :
A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as a non-modifiable risk factor for disease?

9 :
A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as a modifiable risk factor for developing a disease?

10 :
A nurse is caring for six clients. Which of the following clients are at risk for developing peripheral neuropathy (PN)? (Select All that Apply.)

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Custom Cumulative Ex BSN Cloned Assessment 1

No.

1 : A charge nurse is providing an in-service to a group of nurses about self-care. Which of the following information should the nurse include in the teaching?

2 : A nurse is providing teaching to a client about ways to improve their health. Which of the following modifiable risk factors should the nurse include? (Select All that Apply.)

3 : A nurse is caring for a client who has headaches. In determining a diagnosis, which of the following precipitating factors is common in both tension-type headaches and cluster headaches?

4 : A nurse is reviewing the electronic medical record of a middle-aged client who was admitted following a stroke. Which of the following findings should the nurse identify as a modifiable risk factor for stroke?

5 : A nurse is preparing to provide education to a client about the Affordable Care Act (ACA). Which of the following information should the nurse include?

6 : A nurse is providing discharge instructions to a client who lives in subsidized housing and is concerned about being able to afford their medications. Which of the following factors should the nurse identify is affecting the client's health?

7 : A nurse is providing care for a client who is at risk of cerebral aneurysm rupture. Which of the following interventions should the nurse include in the care plan?

8 : A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as a non-modifiable risk factor for disease?

9 : A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as a modifiable risk factor for developing a disease?

10 : A nurse is caring for six clients. Which of the following clients are at risk for developing peripheral neuropathy (PN)? (Select All that Apply.)

1 :
A charge nurse is providing an in-service to a group of nurses about self-care. Which of the following information should the nurse include in the teaching?

2 :
A nurse is providing teaching to a client about ways to improve their health. Which of the following modifiable risk factors should the nurse include? (Select All that Apply.)

3 :
A nurse is caring for a client who has headaches. In determining a diagnosis, which of the following precipitating factors is common in both tension-type headaches and cluster headaches?

4 :
A nurse is reviewing the electronic medical record of a middle-aged client who was admitted following a stroke. Which of the following findings should the nurse identify as a modifiable risk factor for stroke?

5 :
A nurse is preparing to provide education to a client about the Affordable Care Act (ACA). Which of the following information should the nurse include?

6 :
A nurse is providing discharge instructions to a client who lives in subsidized housing and is concerned about being able to afford their medications. Which of the following factors should the nurse identify is affecting the client's health?

7 :
A nurse is providing care for a client who is at risk of cerebral aneurysm rupture. Which of the following interventions should the nurse include in the care plan?

8 :
A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as a non-modifiable risk factor for disease?

9 :
A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as a modifiable risk factor for developing a disease?

10 :
A nurse is caring for six clients. Which of the following clients are at risk for developing peripheral neuropathy (PN)? (Select All that Apply.)