When the home care nurse notes that a widow of 3 months is not sleeping well, has no appetite, and does not attend activities outside the home, the nurse suspects the client is experiencing:
A) depression.
B) dementia.
C) sensory overload.
D) sensory deprivation.
Ans: A
Feedback:
Severe affective disorders can hinder mobility. Depression and catatonic states result in limited mobility not because of physical impairments, but because the person lacks the desire to move.
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A patient is being seen at the clinic for her 10-week prenatal visit. She asks when she will be able to hear the baby's heartbeat. The nurse should reply:
a. "The baby's heartbeat is not usually heard until the second trimester." b. "The baby's heartbeat may be heard anywhere from the ninth to the twelfth week." c. "It is often difficult to hear the heartbeat at this point, but we can try." d. "It is normal to hear the heartbeat at 6 weeks. We may be able to hear it today."
The nurse is providing patient care and pays special attention to meeting the needs of the patient while maintaining the patient's right to privacy, confidentiality, autonomy, and dignity. This nurse is applying what ethical theory?
a. Deontology b. Utilitarianism c. Autonomy d. Accountability
Which assessment finding would alert the nurse to the strong possibility that the client may provide an inadequate supply of milk to the baby?
a. Baby weighs 10 pounds 4 ounces. b. There is a history of breast-reduction surgery. c. Mom is more than 40 years of age. d. Mom prefers skim to whole milk.
The client receives metformin (Glucophage). What will the best plan by the nurse include with regard to patient education with this drug?
1. It decreases sugar production in the liver. 2. It inhibits absorption of carbohydrates. 3. It stimulates the pancreas to produce more insulin. 4. It reduces insulin resistance. 5. It increases energy use.