A nurse observes that an older client is laughing forcefully when describing the strain of caring for the spouse, who has Alzheimer's disease
The client states that neither one of them goes to church or participates in any social events any longer. Other than caring for the person with Alz-heimer's disease, the spouse spends much free time sleeping. The nurse would need to assess this client more for (Select all that apply) a. changes in appetite.
b. decreased ability to concentrate.
c. excessive spending sprees.
d. feeling guilt or hopelessness.
e. suicidal thoughts.
A, B, D, E
All the correct options point to depression, which the nurse suspected when the client related a decrease in usual activities and socialization, and increased sleeping. Excessive spending sprees might be seen in someone with bipolar disorder during the manic phase.
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A 66-year-old woman has a complex medical history that includes poorly-controlled type 1 diabetes, renal failure as a result of diabetic nephropathy and chronic heart failure (CHF)
Her care provider has recently added spironolactone (Aldactone) to the woman's medication regimen. The nurse should consequently assess for signs and symptoms of A) atrial fibrillation. B) thrombophlebitis. C) hyperkalemia. D) leukocytosis.
A married father of four has recently been diagnosed with emphysema resulting from a long history of smoking. At a family counseling session a nurse helps the family to understand that this diagnosis is classified as a(n):
a. acute illness. b. tertiary prevention. c. chronic illness. d. internal variable.
The nurse is caring for a patient with anxiety and depression who tells the nurse, "I am always stressed out." Which factors inform the nurse's understanding of stress? Select all that apply
1. It relates to an individual's perception of demands being made on him or her. 2. It relates to the individual's perception of his or her ability to meet the demands being made on him or her. 3. It is often a precipitant of anxiety. 4. It is often caused by anxiety. 5. It relates to an individual's perception of others.
A nurse is caring for a patient who has been scheduled for endoscopic retrograde cholangiopancreatography (ERCP) the following day. When providing anticipatory guidance for this patient, the nurse should describe what aspect of this diagnostic procedure?
A) The need to protect the incision postprocedure B) The use of moderate sedation C) The need to infuse 50% dextrose during the procedure D) The use of general anesthesia