Answer to Question 1
Ans: B
A counselor should provide the client with unbiased information from which to choose. Therefore, the statement that Open and laparoscopic hernioplasty are available should be used by the nurse when counseling a client with hernia. The nurse should, however, refrain from giving a personal opinion, so it should not be mentioned which surgery is best for the client; likewise, the nurse should not bring up his or her own past experiences. By reserving personal opinions, a nurse promotes the right of every person to make his or her own decisions and choices on matters affecting health and illness care. Telling the client about his suitability to surgery or the best surgery for him may be biased from the experiences of the past.
Answer to Question 2
Ans: A
On admission of the client to a health care facility, the nurse would be required to conduct an initial assessment of the client. Therefore, the nurse would implement his or her nursing skills in this case. This can be done by interviewing, observing, and examining the client. Caring skills are put into practice once the nursing needs are determined. Comforting and counseling skills may not have a major role in assessing client problems.
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
Nurse using a stethoscope
Testing client’s ability to identify sharp sensations
Client positioned and draped
Abdominal hernias: Sliding hiatal hernia
The client is positioned for the examination