The nurse admits a 70-year-old female to the long-term care facility
While assisting with the assessment, the nurse notes that the patient's husband died 2 months ago and that she has pain daily in her deformed hands from rheumatoid arthritis, needs assistance to dress herself, and has become incontinent of urine. What is the most appropriate nursing diagnosis for this patient?
a. Risk for disturbed self-perception
b. Powerlessness
c. Hopelessness
d. Impaired social reaction
ANS: A
Patients at risk for disturbed self-perception have had conditions that have resulted in changes in their body image, body function, loss, recent relocation, and chronic pain.
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The physician has ordered fibrinolytic agents for a patient with coronary artery disease. What patient diagnosis would the nurse most expect?
A) Posterior wall acute myocardial infarction B) Acute coronary syndrome without ST segment elevation C) Acute ST segment elevation myocardial infarction D) New onset of right bundle branch block
Eating disorders affect from 10 to 24 million people of all ages and genders in the United States. All of the following are considered eating disorders except:
A) Bulimia nervosa B) Binge eating C) Anorexia nervosa D) Obesity
The feeding should be offered slowly to reduce aspirations and cramping that could lead to diarrhea
Indicate whether the statement is true or false.
Mrs. Tensley is a 45-year-old mother of three children who recently found out that she has high blood pressure when she was hospitalized for a hysterectomy. Heather, as a student nurse, was caring for Mrs. Tensley during her hospitalization. Mrs. Tensley confided to Heather that she did not want to have to take medication for the high blood pressure. Heather's best response to Mrs. Tensley is which of the following?
A. "Although you need to take your medication, you may be able to lower your blood pressure by maintaining an ideal body weight and reducing stress." B. "You will always need medication to control your hypertension." C. "You need to continue to take your medication because you have a family history of hypertension." D. "You can most likely wean yourself off your medication a little at a time."