A nurse interviews an older adult with pulmonary disease. The ...

[SO00]

A nurse interviews an older adult with pulmonary disease. The client states, I worked hard all my life in the shipyard, I provided for my family. I never smoked, why did I get this disease? Which response by the nurse is best?
 
  A) It is a good thing that you never smoked.
  B) Pulmonary disease can happen to anyone.
  C) The work in the shipyard put you at risk.
  D) You feel like you are being punished

Question 2

A nurse assesses older adults at a pulmonary clinic. Which of the following questions might best assist identify those at risk for pulmonary disorders?
 
  A) Do any of your children smoke?
  B) In what state did you grow up?
  C) What type of job did you have?
  D) Where do you exercise?

[Brummell1998]

Answer to Question 1

Ans: C
Shipyard work is a job category that is associated with an increased risk of respiratory disease. Caring responses give information and are directly related to the client's issue (and smoking is not). The client does not directly imply he feels punished.

Answer to Question 2

Ans: C
Some job categories are associated with an increased risk of respiratory disease. Children who smoke do not imply that secondhand smoke occurs. While location does correlate with the percent of smokers, it is not as helpful in identification of those with pulmonary disorders; nor is where a person exercises.

[SO00]

Excellent

[blakcmamba]

TYSM