Page 152 - Saunders Comprehensive Review For NCLEX-RN

Rationale: Mental health problems are the primary issue for this population as a
result of tortuous events. While all other options are important for all clients, they do
not address the specific needs of this special population.
Test-Taking Strategy: Note the strategic word, priority. This indicates that all
options are important and are most likely correct. It is necessary to recall that due to
the potential trauma experienced by refugees, mental health is a priority.
Level of Cognitive Ability: Applying
Client Needs: Psychosocial Integrity
Integrated Process: Nursing Process—Planning
Content Area: Foundations of Care: Special Populations
Health Problem: N/A
Priority Concepts: Clinical Judgment; Health Promotion
Reference: Global Citizen. (2018). The 7 biggest challenges facing refugees and
immigrants in the US. Retrieved from https://www.globalcitizen.org/en/content/the-7-
biggest- challenges-facing-refugees-and-immig/

15. Answer: 1

Rationale: Nursing follow-up visits are important in promoting health for
individuals with chronic illness; therefore, arranging for home health care is an
important strategy.
Focusing on a single illness does not effectively manage an individual with
multiple chronic diseases—rather, the “big picture” needs to be understood in
managing these clients. Interprofessional collaboration is important in safely
managing individuals with chronic diseases, and often involves consulting with
specialist providers. Nurses play a key role in facilitating communication between
providers and specialists. Inclusion of the client and support person(s) in health care
decisions helps increase adherence to a complex health care regimen, and the nurse
should be the facilitator of this communication.
Test-Taking Strategy: Note the strategic word, best. Recalling that these clients
often have complex histories and health care needs will assist you in choosing the
option that relates to nursing support services.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process—Planning
Content Area: Foundations of Care: Special Populations
Health Problem: N/A
Priority Concepts: Health Promotion; Safety
Reference: Usherwood, T. (2017). Encouraging adherence to long-term medication.
Australian Prescriber, 40(4), 147-150.

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