A client with depression appears lethargic and apathetic but agrees to participate in a leisure activity group. Which of the following actions by the nurse is most likely to help the client be successful in this group?

A) Allow the client to direct her participation at her own pace.
B) Give the client several choices of projects so she can choose her favorite.
C) Stay away from the client during the session to encourage free expression.
D) Structure the activity to facilitate completion of one specific task.


D
Feedback: The client needs to experience success in the group but is unlikely to do that independently. Answers A, B, and C are not appropriate actions for the client who is lethargic and apathetic.

Nursing

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The nurse is planning a teaching session regarding peptic ulcers for the residents of an assisted-living complex. Which concepts about peptic ulcer disease should the nurse include in the presentation to the residents?

Select all that apply. A) A colonoscopy is the most common test used to diagnose the presence of a gastric ulcer. B) Gastric ulcers are more common than duodenal ulcers. C) Many peptic ulcers are infected with H. pylori and are treated with antibiotics. D) The first sign of a peptic ulcer may be serious gastrointestinal bleeding. E) The individual with a peptic ulcer will most likely experience pain after eating.

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The nurse observes an older patient crying, tensed, and lying rigidly in bed. What action should the nurse take first?

A) Reposition the patient in bed B) Perform a systematic pain assessment C) Ask the patient if she is experiencing a problem D) Prepare a dose of breakthrough medication for the patient.

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What procedure creates an atrial septal defect?

A) Cardiac angiography B) CABG C) PTCA D) Ballon valvuloplasty

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A nurse is conducting a class for nursing students about fetal circulation. Which statement is accurate about fetal circulation and should be included in the teaching session?

a. Oxygen is carried to the fetus by the umbilical arteries. b. Blood from the inferior vena cava is shunted directly to the right ventricle through the foramen ovale. c. Pulmonary vascular resistance is high because the lungs are filled with fluid. d. Blood flows from the ductus arteriosus to the pulmonary artery.

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