A client with end-stage heart failure is awaiting a transplant. The client appears depressed and states, "I know a transplant is my last chance, but I don't want to become a vegetable." What is the nurse's best response?

a. "Would you like to speak with a priest or chaplain?"
b. "I will consult a psychiatrist to speak with you."
c. "Do you want to come off the transplant list?"
d. "Would you like information about ad-vance directives?"


D
The client is verbalizing a real concern or fear about negative outcomes of the surgery. This an-xiety itself can have a negative effect on the outcome of the surgery because of sympathetic sti-mulation. The best action is to allow the client to verbalize the concern and work toward a posi-tive outcome without making the client feel as though he or she is crazy. The client needs to feel that he or she has some control over the future.

Nursing

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The population health nurse is preparing material for a group of community members about health promotion. What should the nurse state that health promotion involves?

1. Education about healthy behavior, which leads to behavioral change. 2. Behavior manipulation through transfer of knowledge. 3. Informing the client about the nature and causes of illness. 4. Enabling clients and promoting community action.

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Breath sounds normally auscultated over most of the lung fields are called:

a. vesicular. b. bronchovesicular. c. bronchial. d. tubular.

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Traditional Chinese medicine utilizes yin (cooling) versus yang (warming) in assessing and treating disease. Menopause is considered a time of imbalance, therefore the Chinese herbalist would prescribe:

1. Herbs which are yang in nature 2. Herbs that are yin in nature 3. Ginger 4. Golden seal

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Psychologic elder abuse includes, but is not limited to, which of the following? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply

1. Verbal assaults 2. Humiliation 3. Desertion 4. Intimidation 5. Failure to provide reasonable care

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