Which of the following outcomes would be the most important for an older adult who recently lost his wife of 50 years after a long history of breast cancer?
1. Ability to recognize behaviors that reduce feelings of hopelessness
2. Ability to focus on specific stimuli
3. Ability to acquire, organize, and use information
4. Ability to dress self and maintain own hygiene
1
Rationale: Depression, loneliness, and hopelessness are common reactions to loss; therefore, the ability to identify ways to reduce hopelessness would be the most important outcome for this client. Altered thought processes and self-care deficits would not be expected in this situation; therefore, the ability to process information or attend to stimuli would not be appropriate. Neither would the ability to dress or perform other self-care activities.
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A community health nurse is making a home visit to a family who has been providing care to an older adult member with Alzheimer disease for the past 6 months. During the visit, which of the following would be most important for the nurse to assess?
A) Cognitive status B) Medication regimen C) Personality changes D) Caregiver's status
How can the nurse prevent reflux gastric contents through the blue vent of a gastric sump tube?
A) Prime the tubing with 20 mL of normal saline. B) Keep the vent lumen above the patient's waist. C) Maintain the patient in a high-Fowler's position. D) Have the patient pin the tube to the thigh.
Nursing has roots in religion. This strong influence of religion on the development of nursing started in
a. India c. Greece b. England d. Italy
The nurse discusses the patient's condition on the phone with the patient's brother. On learning this, the patient is upset, saying he has not spoken with his brother for years and does not want his brother to know anything about his condition
The nurse has a. slandered the patient. b. committed a felony. c. breached confidentiality. d. assaulted the patient.