Using social cognitive theory, which action by the nurse will have the most impact on older adults' participation in health promotion behaviors?
a. Creating a walking club in the community
b. Offering private nutritional counseling
c. Providing meals at the senior center
d. Handing out educational materials
A
According to this theory, self-efficacy and outcome expectations are influenced by successful performance of the behavior, verbal encouragement, seeing similar people do the behavior, de-creasing unpleasant aspects of the behavior, caring approaches to facilitate the behavior, and education about benefits. A local walking club with other seniors fulfills many of these criteria. Private nutritional counseling does not allow the participant to see others engaged in this activity. Meals may or may not be healthy or palatable. Educational materials on their own may not have great benefit.
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A patient, age 28, has a history of IV drug use and has tested positive for HIV. About 2 weeks ago, she delivered a baby who has tested positive for HIV. This patient will not care for the baby because she believes the baby will die soon
In counseling her about the care of her infant, which approach by the nurse is most appropriate? a. Agree with her that the baby will develop AIDS and refer her to a local AIDS support group. b. Inform her that although infants of HIV-infected mothers may test positive for HIV antibodies, not all infants are infected with the virus. c. Remind her that she has not yet developed AIDS and that it is possible the baby won't develop AIDS for many years. d. Inform her that if the infant is started on zidovudine (AZT) within the first month after delivery, AIDS can be prevented.
Which symptom would the nurse expect in a patient diagnosed with dissociative fugue?
a. Worry about having a serious disease b. A feeling of detachment from one's body c. Belief that part of the body is ugly or disproportionate d. Travel away from home and assumption of a new identity
Which action will the nurse need to do when preparing to assist with the insertion of a pulmonary artery catheter?
a. Determine if the cardiac troponin level is elevated. b. Auscultate heart and breath sounds during insertion. c. Place the patient on NPO status before the procedure. d. Attach cardiac monitoring leads before the procedure.
A stockbroker commits suicide after being convicted of insider trading. In speaking with the family, which statement by the nurse demonstrates accurate and appropriate sharing of information?
A. "Your grieving will subside within 1 year; until then I recommend antidepressants." B. "Support groups are available specifically for survivors of suicide, and I would be glad to help you locate one in this area." C. "The only way to deal effectively with this kind of grief is to write a letter to the brokerage firm to express your anger with them." D. "Since stigmatization often occurs in these situations, it would be best if you avoid discussing the suicide with anyone."