A 76-year-old man has had his quality of life significantly affected by chronic obstructive pulmonary disease (COPD), a condition that has brought a steady decline in his activity tolerance, his mobility, and ultimately his independence

In light of the apparent ineffectiveness of conventional treatment, the man is eager to forego conventional treatments and explore alternative and complementary treatment options. How can the man's nurse best direct him? A) "This is a wise decision, since conventional treatments are motivated by profit and the interests of pharmaceutical companies, not patients.".
B) "These are good options to explore, but you will need to set aside your physician's advice in the short term in order to get accurate information.".
C) "Try not to think of your options as choosing either conventional treatment or alternative therapies, but rather choosing the best of both.".
D) "Your care team is probably ignorant of alternative therapies, so you'll have to go elsewhere for any information you need.".


C
Feedback:
Patients should be able to use the best of both complementary/alternative and conventional health care practices. It would be inaccurate to wholly write off conventional treatments as serving only the interests of pharmaceutical companies and while various information sources are likely necessary, it would be inappropriate to recommend ignoring the advice or potential information from the care team and physicians.

Nursing

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A 76-year-old widow has recently moved from her home to a nursing home; her daughter has come to the primary care nurse who has taken care of her mother for years concerned that her mother seems to have "lost her memory."

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The nurse in an allergy clinic is assessing a new patient. The nurse is aware that histamine plays an important role in the immune response and that the effects of histamine can manifest in assessment findings

What response can occur as a result of histamine release? A) Constriction of small venules B) Contraction of bronchial smooth muscle C) Dilation of large blood vessels D) Decrease secretion of gastric and mucosal cells

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An elderly patient comes to the clinic with her daughter. The patient is a diabetic and is concerned about foot care

The nurse goes over foot care with the patient and her daughter as the nurse realizes that foot care is extremely important. Why would the nurse feel that foot care is so important to this patient? A) An elderly patient with foot ulcers experiences severe foot pain due to the diabetic polyneuropathy. B) Avoiding the complications associated with foot ulcers may mean the difference between institutionalization and continued independent living. C) Hypoglycemia is a dangerous situation and it may lead to unsteadiness of the feet and falls. D) Drugs that the patients are required to take for their diabetic condition often decrease circulation to the lower extremities.

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A nurse is recommending a state-assisted living facility to an elderly client who cannot afford private assisted living. Which of the following is a requirement for this type of housing?

A) Medicaid B) One or more chronic illnesses C) Certificate of need D) Private insurance

Nursing