The most important long-term goal for a client with hypertension would be to:
A. Learn how to avoid stress.
B. Explore a job change or early retirement.
C. Make a commitment to long-term therapy.
D. Lose weight.
Answer: C. make a commitment to long-term therapy
Compliance is the most critical element of hypertension therapy. In most cases, hypertensive clients require lifelong treatment and their hypertension cannot be managed successfully without drug therapy. Stress management is an important component of hypertension therapy, but the priority goal is related to compliance. It is not necessary for the client to change jobs or retire, but rather to learn to manage stress if the job is stressful. Losing weight may be necessary and will contribute to lower blood pressure, but the client must first accept the need for a lifelong management plan to control the hypertension.
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Testing of a new instrument demonstrates that it has a high degree of internal consistency. What does this indicate to the nurse researcher?
a. The instrument is appropriate to use to measure a single concept. b. The instrument has low measurement error and high error variance. c. More refinement of the instrument is necessary before it can be applied. d. The instrument is valid, but the reliability has yet to be determined.
The nurse should be alert to a blood group incompatibility if:
a. both mother and infant are O-positive. b. mother is A-positive and infant is A-negative. c. mother is O-positive and infant is B-negative. d. mother is B-positive and infant is O-negative.
The nurse is preparing discharge instructions for a client being treated with medication and psychotherapy for schizophrenia. What should the nurse address with the client prior to discharge?
1. The client smokes 1–3 cigarettes per day. 2. The client drinks 1–3 beers before bedtime per day. 3. The client likes to eat grapefruit for breakfast. 4. The client drinks 1–3 caffeinated sodas per day.
The nurse is evaluating the responses of clients to teaching sessions. Which one of the following is an example of an evaluation of a psychomotor skill?
a. "Client is able to state side effects of medication." b. "Client responds appropriately to eye contact." c. "Client planned an exercise program." d. "Client uses the cane correctly."