Mrs. Jones, a smoker, has early chronic obstructive pulmonary disease. Mrs. Jones realizes that smoking is harming her health, but she cannot get motivated to initiate change
Her nurse, Mark Aimes, sets aside time during a clinic appointment to discuss the pros and cons of smoking cessation and to offer support. This encounter is a:
1. Developmental assessment.
2. Motivational interview.
3. Needs assessment.
4. Teachable moment.
ANS: 2
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A community health nurse is working in a community that includes several gangs. Which of the following concepts would the nurse need to integrate into the plan of care?
A) Gangs are problematic but functional. B) Gangs provide emotional ties for members. C) Gang members are frequently homeless. D) Gangs often develop from foster families.
What should the nurse explain is the major purpose of the Sengstaken-Blakemore tube (S/B tube)?
a. Decompress the stomach b. Control esophageal varices bleeding c. A route for tube feedings d. Obtain specimen for gastric analysis
For the client experiencing xerostomia, the nurse should:
a. provide frequent lip lubrication with a water-soluble gel. b. increase the client's IV fluids until specific gravity is greater than 1.010. c. instruct the client not to use aspirin. d. provide the client with a soft-bristled toothbrush.
The teaching plan for the child with structural disorders of the bones and joints, such as developmental dysphasia of the hip, should include which instruction?
a. Importance of limiting physical activity to decrease the chance of injury b. Need for long-term hospitalization to ensure adequate treatment c. Importance of follow-up until the child reaches skeletal maturity d. Importance of avoiding child-resistant devices, as these can exacerbate the condition