How does physical illness increase stress in the older adult?
a. It is an acceptable reason to request assistance.
b. It takes away energy to cope with new stressors.
c. It stimulates the family to be more attentive.
d. It causes additional medications to be ordered.
ANS: B
Physical illness drains energy that might otherwise be mobilized to cope with stress. Many older adults think that it is acceptable to request assistance with a physical illness, the family is more attentive with the presence of a physical illness, and physical illnesses can have pharmaceutical relief, but none of those facts explain the reduced ability to cope with stress.
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While attempting to choose a nursing diagnosis, the nurse must decide whether a client is experiencing anxiety or fear. Which key point would allow the nurse to plan care based on the nursing diagnosis of Anxiety?
A) The source of fear is identifiable, but anxiety may be vague. B) Anxiety is a milder form of fear. C) Fear results in a physiologic response, whereas anxiety is psychological. D) Anxiety is generally based in reality, whereas fear is not.
The nurse would realize that outcomes for the diagnosis Ineffective Health Maintenance have been partly met when the client (Select all that apply)
a. begins and maintains an exercise program. b. has ideas for incorporating medications into lifestyle. c. helps design a diet modification. d. says he/she will comply with whatever plan the nurse makes. e. shows the nurse the correct way to take the pulse.
A child with a hip spica cast is being prepared for discharge. Recognizing that caring for a child at home is complex, the nurse should include what instructions for the parents' discharge teaching?
a. Turn every 8 hours. b. Specially designed car restraints are necessary. c. Diapers should be avoided to reduce soiling of the cast. d. Use an abduction bar between the legs to aid in turning.
Which of the following statements best describes an outcome of the Balanced Budget Act of 1997?
a. Additional funding was provided to the State Children's Health Insurance Program (SCHIP). b. Individuals were able to keep their health insurance when moving from one place to another. c. Patient privacy and security of health information was enhanced. d. A prospective payment system for home health services was created.