A client tells the nurse that the thought of eating makes her anxious and nervous, and she just avoids it altogether. The plan of care for this client should include which of the following?
1. Instruction on nutrition
2. Interventions to address anxiety and feelings of being in control
3. Instruction on the role of nutrition with normal menstruation
4. Importance of nutrition for vital signs and muscle tone
2. Interventions to address anxiety and feelings of being in control
Rationale:
The client is articulating feelings of anxiety and nervousness regarding eating. The nurse needs to include interventions to address the client's anxiety and feelings of being in control. Instruction on nutrition, normal menstruation, and bodily functions such as vital signs and muscle tone may or may not be appropriate for the client at this time.
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The nurse, assessing a client for stressors, is implementing which of the following nursing theorists' hypothesis, which focused on the wellness of the client system in relation to environmental stressors and reactions to stressors?
a. Hilda Peplau c. Joyce Travelbee b. Betty Neuman d. Sister Callista Roy
A patient is being instructed on how to perform Kegel exercises. What should be included in these instructions? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. While voiding, stop the flow of urine and hold for a few minutes. 2. Tighten the identified muscles for 2 to 3 seconds. 3. Take a deep breath and hold while performing the exercise. 4. Tighten the stomach muscles while performing Kegel exercises. 5. Improvement may take several weeks.
The nurse and an assistant are moving a dependent client from the supine to the lateral position. Which should the nurse implement to begin repositioning?
1. Support upper arm and leg with pillows. 2. Move the client to the center of the bed. 3. Elevate client's head with two or three pillows. 4. Wedge a pillow under abdomen and chest.
During a health interview the nurse determines that a client contemplating pregnancy would benefit from teaching on preconception health measures. What information did the nurse use to make this clinical determination? Select all that apply
1. Smokes one half of a pack per day of cigarettes 2. Works in an industrial plant 3. Drinks decaffeinated coffee 4. Drinks 4 ounces red wine every evening 5. Takes over-the-counter antacids as needed