A client diagnosed with obsessive-compulsive disorder states, "I really think my future will improve because of my successful treatment choices. I'm going to make my life better." Which guiding principle of recovery has assisted this client?
1. Recovery emerges from hope.
2. Recovery is person-driven.
3. Recovery occurs via many pathways.
4. Recovery is holistic.
1
Rationale: The SAMHSA lists the following as guiding principles for the recovery model: recovery emerges from hope, recovery is person-driven, recovery occurs via many pathways, recovery is holistic, recovery is supported by peers and allies, recovery is supported through relationship and social networks, recovery is culturally based and influenced, recovery is supported by addressing trauma, recovery involves individual, family, and community strengths and responsibility, recovery is based on respect. This client has internalized hope. This hope is the catalyst of the recovery process.
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During an assessment of an 82-year-old woman, a gerontological nurse learns that the woman has lost over 4 inches in height over the last several years. Which of the following factors have likely contributed to this phenomenon? Select all that apply
A) The woman's overall proportion of body water has decreased. B) The client has experienced a loss of cartilage. C) The woman's thyroid hormone levels have declined since the sixth decade. D) The client's vertebrae have thinned. E) Loss of stature is a consequence of the woman's diet. F) The woman's long bones have decreased in length.
The nurse takes into consideration the age-related changes in the heart, which are (select all that apply):
1. Decrease in contractility 2. Thickened valves 3. Stiffened valves 4. Decreased SA node cells 5. Increased nerve fibers in ventricles
A patient is diagnosed with duodenal ulcers caused by a highly acidic gastrointestinal environment. The nurse explains that this condition may be related to deficiency in which hormone?
1. Secretin 2. Lipase 3. Elastase 4. Amylase
A patient paces continuously while repeatedly mumbling, "I'm worthless. It's all hopeless.". Which nursing measure would be most helpful in establishing a relationship with this patient?
a. Greet the patient with a cheerful smile. b. Insist that the patient go to a room to talk with the nurse. c. Walk with the patient, and make occasional empathic observations. d. Tell the patient, "I don't agree with your assessment of worthlessness.".