A patient who is HIV-seropositive continues to use heroin on a daily basis but has agreed that his behavior endangers others and promises not to share needles. What can the nurse give as a realistic estimate for success in attaining this outcome?
a. Low potential for achievement
b. High potential for achievement
c. Moderate potential for achievement
d. Ultra-high potential for achievement
ANS: A
Despite the patient's good intentions not to share needles, he may not care who uses his nee-dle when the heroin takes effect. The other options are unrealistically optimistic. High-risk behaviors are difficult to change. They are hard to discuss and harder still to achieve when they are drug-related, because substance use alters judgment.
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While doing admission assessments, the nurse finds that Mrs. S does not drink; Mrs. X enjoys a glass of wine at supper and bedtime;
Mr. Y has been drinking at least a six-pack of beer every day for the past 20 years and has been ordered by his doctor; and Mr. Z has a cocktail when he goes out to dinner, which is about once a month. Which clients would be considered at nutritional risk? A) Mrs. X and Mr. Z C) Mrs. X and Mr. Y B) Mrs. S and Mr. Y D) Mrs. S and Mr. Z
What type of aphasia does he have?
A 75-year-old homemaker brings her 76-year-old husband to your clinic. She states that 4 months ago he had a stroke and ever since she has been frustrated with his problems with communication. They were at a restaurant after church one Sunday when he suddenly became quiet. When she realized something was wrong he was taken to the hospital by EMS. He spent 2 weeks in the hospital with right-sided weakness and difficulty speaking. After hospitalization he was in a rehab center, where he regained the ability to walk and most of the use of his right hand. He also began to speak more, but she says that much of the time “he doesn't make any sense.” She gives an example that when she reminded him the car needed to be serviced he told her “I will change the Kool-Aid out of the sink myself with the ludrip.” She says that these sayings are becoming frustrating. She wants you to tell her what is wrong and what you can do about it. While you write up a consult to neurology, you describe the syndrome to her. A) Wernicke's aphasia B) Broca's aphasia C) Dysarthria
An advanced practice nurse is working with a middle-aged client who attempted suicide in her teens by ingestion of drugs
The nurse's periodic assessments of this client's suicide risk are guided by the knowledge that research has shown which of the following? a. The risk of completed suicide steadily decreases over 4 decades after the initial attempt. b. Suicide attempts by ingestion of drugs rarely reflects true suicidal ideation. c. This client carries a significant lifetime risk of completed suicide. d. Suicide attempts by adolescents are not valid predictors of completed suicide in later life.
The nurse identifies the diagnosis Ineffective Peripheral Tissue Perfusion related to decreased arterial flow to extremities as appropriate for a client. Which activity will the nurse recommend in order to improve the client's blood flow?
A) Cross the legs at the knees when seated. B) Use a heating pad to increase warmth. C) Elevate the feet while reclining. D) Position with the extremities dependent.