The nurse is visiting an elderly patient who lives with his daughter and her family. Which suggestion by the nurse would help promote a healthy self-concept in the patient?
a. Encourage the daughter to do everything for her father so he can conserve his strength.
b. Suggest the daughter ask her father to dispose of his personal belongings so he can determine who will have them.
c. Discourage his grandchildren from touching his delicate, aging skin.
d. Encourage the family to give the patient his own chores and responsibilities.
D
Strategies to promote a healthy self-concept in the older patient include increasing socialization, encourage involvement and participation in care, urging family members to allow the patient to be involved with household tasks and routines as much as possible, using touch to decrease feelings of isolation and promote feelings of security and acceptance, promoting privacy, not removing personal belongings because these are often invested with symbolic meaning, demonstrating patience, and encouraging the patient to reminisce to focus on individual strengths and accomplishments.
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An adolescent female athlete has been menstruating at irregular intervals and does not have an adequate amount of calcium in the diet. Which health problem is this client at risk for developing?
a. Arthritis b. Osteoporosis c. Multiple sclerosis d. Hyperparathyroidism
A client states, "I can't sleep all night because the nurses are noisy." Which of the following responses by the nurse best represents the nurse's recognition of the client's theme?
a. "I will speak to the supervisor about your complaint." b. "You cannot sleep because of the noise level at night?" c. "You need to understand that nurses communicate with other clients during the night." d. "I will tell the night nurses that you complained."
Recent research into the neurophysiology of schizophrenia has explored the role of neurotransmitters (NTs) other than dopamine. Findings include:
a. expression of the signaling neuropeptide cholecystokinin is increased in schizophrenia b. decreased number of inhibitory neurons for which gamma-aminobutyric acid (GABA) is the predominant NT c. decreased brain activity in the hippocampus d. effects of the excitatory NT glutamine
You are delivering a baby who was in a breech presentation. The baby's body has delivered, and you are attempting to deliver its head by lifting its body upward. After about 3 minutes, the baby's head has not delivered. You should:
A) elevate the mother's hips with pillows, administer high-flow oxygen, and transport immediately. B) support the baby's body, carefully turn the mother on her left side, and transport expeditiously. C) place your gloved hand in the vagina and gently lift the baby's face away from the vaginal wall. D) elevate the mother's hips and apply gentle traction to the baby's body until the head has delivered.