A 58-year-old Caucasian woman is at the clinic for her annual check-up. She tells the nurse that she noticed her blood pressure is higher than it was when she was younger. She asks the nurse why this would happen
What is the nurse's best response? a. "Your race and gender are predisposing factors for heart disease."
b. "Well, if you stop smoking your blood pressure would go down."
c. "As we age, our blood vessels become less elastic, which causes higher blood pressure."
d. "I don't think it's anything to worry about."
C
Arterial vessels in the older adult become calcified and lose elastin. This may lead to hyperten-sion and a rise in systolic blood pressure. Both of these normal changes of aging place the older adult at risk for heart failure. Do not be judgmental about smoking and the question does not in-dicate the female is a smoker. Males, not females, are more prone to heart disease. Afri-can-Americans, American Indians, and Mexican-Americans are at greater risk than Caucasians for developing heart disease. Telling the patient to not worry is not therapeutic.
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An alternative framework, representing a synthesis of 10 qualitative validity schemes by Whittemore and colleagues, proposed four primary criteria and six secondary criteria. What is explicitness?
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The nurse is counseling a young couple who in 2 months are having their third baby. The nurse uses Von Bertalanffy's general system theory applied to families to analyze the family structure
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Following a treadmill test and cardiac catheterization, the client is found to have coronary artery disease, which is inoperative. He is referred to the cardiac rehabilitation unit. During his first visit to the unit he says that he doesn't understand why he needs to be there because there is nothing that can be done to make him better. The best nursing response is:
a. "Cardiac rehabilitation is not a cure but can help restore you to many of your former activities." b. "Here we teach you to gradually change your lifestyle to accommodate your heart disease." c. "You are probably right but we can gradually increase your activities so that you can live a more active life." d. "Do you feel that you will have to make some changes in your life now?"