When caring for an older adult, the nurse recognizes a realistic goal for this client is to achieve a spiritual sense of harmony by encouraging the client to:
a. discuss the age-related changes c. discuss the nurse's personal beliefs
b. discuss feelings about spirituality d. limit discussion on this topic
B
A realistic goal to assist older adult client is to achieve a spiritual sense of harmony by encouraging the client to discuss feelings about spirituality. An older adult may experience a closeness to a higher power that has never been previously experienced.
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Which of the following is an example of a physiologic shunt?
a. A ventricular septal defect b. Blood returning from the inferior vena cava to the right atrium c. A septal infarct d. Thebesian vessels returning deoxygenated blood to the left ventricle
The client needs to ambulate using a walker. Which activity could the nurse safely delegate to the unlicensed assistive personnel (UAP)?
1. Documenting that the UAP cannot ambulate a client who requires assistive devices 2. Teaching the client how to use the walker 3. Evaluating the client's ability to use the walker properly 4. Ambulating using the walker once the client demonstrates adequate skill
The grandmother of a preadolescent client has passed away. The mother tells the client that their grandmother is not dead but just sleeping "forever." The nurse realizes the mother's explanation of death is:
a. therapeutic. c. exaggerated. b. non-therapeutic. d. denying the death has occurred.
A new mother is concerned because she notices a white, milky discharge from her newborn's nipples. Which explanation by the nurse is most appropriate?
1) "This is an abnormal finding, and the drainage will be cultured." 2) "This is an abnormal finding and may be indicative of diabetes." 3) "This is a normal finding and will disappear in a few days." 4) "This is a normal finding and will disappear when the mother stops breastfeeding."