Vera, age 70, has isolated systolic hypertension. Calcium channel blocker dosages for her should be:
1. Started at about half the usual dosage
2. Not increased over the usual dosage for an adult
3. Given once daily because of memory issues in the older adult
4. Withheld if she experiences gastroesophageal reflux
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An 80-year-old woman who lives alone has begun calling friends and complaining in an exaggerated
fashion about minor aches and pains. Her physician found no significant medical problems. Over the course of a month, she obtained a number of prescriptions for pain medication, none of which seemed to be effective. Friends counseled her that aches are a normal part of life for the elderly and tried unsuccessfully to involve her in activities. She often suggested that she would be better off dead, to which one friend responded "Well, perhaps. It would get you out of your misery.". As she became increasingly "needy" and demanding of attention, friends agreed that her behavior made them uncomfortable and began to call and visit less. The woman took four pain pills and called a neighbor, saying she had overdosed. After medical clearance, the client will be monitored at the mental health clinic. Nursing interventions that have been agreed on for the client include hope instillation, coping enhancement, and support system enhancement. Measures designed to enhance the client's support system include (more than one answer may be correct) A. providing services in a caring manner. B. providing a referral to a self-help group. C. teaching cognitive restructuring. D. encouraging relationships with friends. E. identifying areas of hope in life. F. arranging situations that foster autonomy.
When dealing with parents who have some form of sensory impairment, nurses should realize that all of these statements are true except:
a. One of the major difficulties visually impaired parents experience is the skeptic-ism of health care professionals. b. Visually impaired mothers cannot overcome the infant's need for eye-to-eye con-tact. c. The best approach for the nurse is to assess the parents' capabilities rather than focusing on their disabilities. d. Technologic advances, including the Internet, can provide deaf parents with a full range of parenting activities and information.
What was the purpose of the CDC creating the first list of standard case definitions for notifiable diseases?
a. Some diseases were under-reported and others were over-reported. b. There was no central office to collect data. c. Some people refused to notify officials when diseases were seen. d. No one knew where to report the information that was collected.
When mechanically securing an injured child's head and neck to a backboard, you should:
A) place padding underneath the occiput. B) avoid placing a strap or tape over the chin. C) use towel rolls instead of a cervical collar. D) manually stabilize the child's torso first.