Which of the following nursing diagnoses would be most appropriate for an older adult who recently lost his wife of 50 years after a long history of breast cancer?
1. Activity Intolerance
2. Ineffective Role Performance
3. Feeding Self-Care Deficit
4. Risk for Other-Directed Violence
2
Rationale: The recent loss of his wife will almost certainly lead to ineffective role performance due to a change in social interaction and ability to manage on his own after 50 years of marriage. Social withdrawal, loneliness, and mental status changes can also occur due to lack of social stimulation. A risk for self-directed violence or suicide attempt would be a greater concern than violence directed toward others. A deficit in self-care activities and intolerance for activity are remote possibilities if the client loses interest in performing self care activities or withdraws completely.
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The teaching process shares which of the following characteristics with the nursing process?
1. Both processes use assessment, planning, implementation, and diagnosis. 2. Both processes use assessment, planning, implementation, and evaluation. 3. Both processes use evaluation, planning, implementation, and diagnosis. 4. Both processes use planning, implementation, evaluation, and diagnosis.
Xanthine derivatives are bronchodilators with which actions in the body? (Select all that apply.)
a. Smooth-muscle relaxation b. Kidney diuresis c. Stimulation of the myocardium d. Decrease in respiratory rate e. Decrease in heart rate
Magnetic resonance imaging has confirmed a diagnosis of glioblastoma multiforme (GBM) in a 56-year-old male patient. The nurse who is planning this patient's care should prioritize which of the following nursing actions?
A) Liaising with community agencies to organize long-term rehabilitation B) Teaching the patient about the importance of healthy lifestyle in recovery from GBM C) Choosing psychosocial interventions that are relevant to the patient's poor prognosis D) Teaching the patient about the pharmacological interventions relevant to his treatment
An older adult presents to the clinic for a routine physical examination. The client reports having trouble with memory and often has to "search" for words when having a conversation with friends or family. Which of the following assessment tools will help the nurse to gather more data about this client's concerns?
1. The Denver II 2. Mini-Mental Status Examination 3. Life Experiences Survey 4. Hassles and Uplifts Scale