The client with Type II DM is admitted with cellulitis of the left leg. The health care provider prescribes sliding scale insulin. The client tells the nurse, "I don't want to take shots. I take pills at home to control my diabetes." Which statement would be the nurses best response?
a) "If your blood sugar cannot be controlled with pills, you must take insulin."
b) "I will call your health care provider and communicate your concerns."
c) "During illness you may need to take insulin to keep your blood glucose levels down."
d) "It sounds like you are worried about taking insulin injects. I will sit down and we can talk."
Answer: c) "During illness you may need to take insulin to keep your blood glucose levels down."
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A nurse is caring for a patient with a major psychiatric illness. That patient comes from a different culture than the nurse. What is the nurse's best rationale for using the Cultural Formulation Interview (CFI) when assessing this patient?
1. It is used to inquire about the patient's health care practices based on the patient's culture and to identify areas of improvement. 2. It is used to guide the nurse to self-reflect his or her own judgments regarding the patient's culture and current mental illness. 3. It is used to elicit the patient's cultural understanding of the mental illness and to clarify the role of social and cultural influences. 4. It is used to guide the nurse to appropriate interventions based on the patient's cultural practices and to clarify the nurse's understanding about the patient's culture.
The nurse is planning a smoking cessation class prior to the upcoming Great American Smokeout, hoping it may motivate many individuals to stop smoking by promoting self-efficacy
Which of the following statements, if made by the client, would indicate the highest level of positive self-efficacy according to the Health Belief Model? 1. "I think this time will be different." 2. "I am going to do the best that I can, so that I won't get lung cancer." 3. "I am afraid of getting lung cancer like my father." 4. "I know that this time I will quit smoking permanently."
Providing education on drug abuse to a high school class is an example of which type of prevention?
A) Primary prevention B) Secondary prevention C) Tertiary prevention D) Primary intervention
A patient calls the community mental health center and shares, "For the past 6 months, whenever I even think about leaving my house, my heart pounds, my body shakes, and I cry and feel dizzy. There's no reason for me to feel this way, but I do
". These symptoms can be assessed as being most consistent with: a. panic disorder with agoraphobia. b. obsessive-compulsive disorder. c. posttraumatic stress disorder. d. generalized anxiety disorder.