The nurse is interviewing an older African American client and determines that a teaching plan should be implemented. Based on the client's race, which statement by the client may prompt the nurse to plan develop a teaching plan?
1. "My hands and feet are always cold."
2. "I do not take calcium replacements."
3. "My blood pressure is high most of the time."
4. "I'm worried that my bones may be weak."
3
Rationale 1: Caucasians have a greater risk for peripheral arterial disease than African Americans. The client with cold hands and feet may have peripheral arterial disease.
Rationale 2: Osteoporosis risk is greater for Asians and Caucasians than for African Americans. People with a high risk for developing osteoporosis should take calcium supplements.
Rationale 3: African Americans have a higher incidence of hypertension and hypertension-related kidney failure than Caucasians.
Rationale 4: African Americans typically have higher bone densities than Caucasians and Asians and are less likely to experience problems to due to osteoporosis.
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How did the development of the Deaconess Institute at Kaiserwerth, Germany, change nursing?
1. It supported prisoners and prostitutes who wished to provide nursing care. 2. It developed a training school for nurses that included hospital care of the sick and visiting nurse instruction. 3. Nurses graduating from Kaiserwerth were the first to be called "registered" nurses. 4. This institution provided university-based training for nurses.
Which nursing theorist is best known for her emphasis on interacting systems, including nurse and patient in goal setting and goal attainment?
a. Watson b. Roy c. King d. Orem
The patient has H. pylori. Which action should the nurse take?
a. Encourage avoidance of wheat and oats. b. Encourage milkshakes as a nutritious snack. c. Encourage completion of antibiotic therapy. d. Encourage nonsteroidal antiinflammatory drugs.
A community health nurse has been asked to develop a plan to improve the local community's negative attitudes toward those suffering from mental illness. Which of the following would best assist the nurse in accomplishing this goal?
A) Read a book about people who suffer from mental illness and try to understand the client's perspective. B) Interview clients suffering from various mental illnesses. C) Identify myths underlying the negative attitudes in the community and improve factual information about mental illness. D) Read descriptions of mental illness from the Diagnostic and Statistical Manual (DSM) to individuals in the community.