An older patient asks a nurse: "I went to my diabetes doctor and everything was stable. The nurse practitioner spent the entire time teaching me about decreasing my risks of heart disease
It seemed odd that she did not focus on teaching me how to better control my diabetes. Do you know why?" The nurse formulates a response based on the understanding that: (Select all that apply.)
a. promoting cardiovascular health has the potential to minimize the complications of DM.
b. there is little evidence that demonstrates that the course of DM can be altered in an older adult.
c. the benefits of better control of blood pressure and lipid levels are seen much quicker than the benefits of better glyce-mic control.
d. older adults are less receptive to teaching about diabetes than they are to teaching about cardiovascular disease.
e. diabetes is not a common chronic condi-tion in older adults.
ANS: A, C
While glycemic control is important, more emphasis is now on the prevention and treatment of cardiovascular diseases. Research has indicated that it may take 8 years of glycemic control be-fore benefits are seen while the benefits of better control of blood pressure and lipids are seen as early as 2-3 years. Promoting cardiovascular health has the potential to be the most efficacious in the minimization of complications in the persons with DM. Education on self-management of diabetes is important for patients of all ages. Diabetes is a common chronic condition in older adults.
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The nurse teaching 8th grade girls addresses common myths about sexuality and body functions. Which statement by a student is an indication that teaching was effective?
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A simultaneous practice of conjoined activities that are crucial to knowing persons is known as
A. Designing. B. Participative engaging. C. Knowing. D. Further knowing.
Ideally the role of the caregiver caring for a child with a chronic condition can be described as:
a. staying stable as caregiver b. moving from caregiver to careful and systematic observer to behavior modifier c. changing in a planned way from provider to manager to supervisor to consultant d. lifelong companion and advocate
A female client tells the nurse, "I see how people look at me with my crooked back and short leg. No one has to tell me that I'm not pretty." The nurse realizes this client is exhibiting:
a. An overinflated sense of self-esteem b. A well-developed self-concept c. An overactive imagination d. A low self-concept