The nurse is providing nutritional assessments for the following clients. The nurse decides that it would be inappropriate to perform a dietary recall activity with which of the following clients?
1. Client newly diagnosed with emphysema
2. Client with a history of Crohn's disease
3. Client with polycystic kidney disease
4. Client diagnosed with dementia
4
Rationale: During a diet recall, the client is prompted to remember all of the foods and beverages that have been ingested by the client over the last 24 hours. The client who has difficulty remembering events may have trouble with this exercise. Clients diagnosed with emphysema, Crohn's disease, and polycystic kidney disease would be able to provide information about their intake over the last 24 hours; however, the client with early-onset dementia may provide inaccurate or unreliable information during this activity.
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The nurse counsels the 76 year old client to:
1. Eat even when not hungry 2. Listen to and take cues from one's body 3. Don't try to keep up with the grandchildren 4. Reduce contact with others as you age
The spouse of a patient who smokes wonders why anyone would want to engage in "such a disgusting habit." What will the nurse tell the spouse?
a. Nicotine causes relaxation and helps with sleep. b. Nicotine increases alertness and promotes dopamine release. c. Nicotine lowers blood pressure. d. Nicotine settles the stomach and reduces nausea and vomiting.
The assessment of which structure is not part of the bimanual examination?
a. Cervix b. Bladder c. Uterus d. Ovaries
As a hospice staff member, you would be LEAST likely to hear your supervisor say:
a. “We must make every effort to satisfy the realistic life goals of our clients.” b. “Inform the clients that it is OK to end their relationships before they die.” c. “Be sure to inform clients that they can have as many drugs to relieve pain as they need.” d. “Remember that fear is a natural part of the dying process, so you should try and encourage it in the clients.”