Which statement by a 52-year-old female patient admitted for evaluation of migraines reflects the changes that occur in middle adulthood?

Select all that apply.

1. "I am embarrassed by the amount of weight I have gained each year."
2. "I have recently been put on a lipid-lowering agent for an increase in my cholesterol levels."
3. "I worry about getting breast cancer like my friend who is the same age."
4. "I have been lonely since my children all married and moved far away."
5. "I am concerned about coping with an unplanned pregnancy."


Correct Answer: 1,2,3,4

The first four statements reflect the changes and concerns that arise in the middle adult years. While unplanned pregnancy can be a concern for perimenopausal women, this statement is more likely to come from a young adult.

Nursing

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During her first prenatal visit to the clinic at 7 weeks' gestation, a 24-year-old primiparous client comments, "My blood type is A-negative, and my husband's blood type is B-positive

Will that cause problems with my pregnancy?" The nurse's best response would be: 1. "There is no danger to your baby, but there could be a few minor complications for you. Let's talk about what we can do to prevent those." 2. "We will do a blood test to see if your body is responding to the baby's blood type. If so, we will give the baby some medication to prevent harm." 3. "Because your partner is positive and you are negative, there is some risk to the baby, but because this is your first pregnancy, the risks are very small." 4. "If you were O-negative, you might have ABO incompatibility because of your partner's blood type; but since you are type A, there should be no problem."

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Psychiatric rehabilitation focuses on: (Select all that apply.)

a. Helping clients control their behaviors b. Assisting clients to cope effectively with their life situations c. Helping clients identify their feelings d. Preventing the client from harming himself or herself e. Assisting the client with problem-solving techniques f. Assisting with occupational and vocational training

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A patient diagnosed with a pituitary adenoma is most likely to exhibit which of the following clinical manifestations?

A) Decreased intracranial pressure B) Headache C) Hyperthalamic disorders D) Restlessness

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The nurse explains that the type of bone marrow transplant that uses the patient's own bone marrow is:

1. allergenic. 2. allogeneic. 3. peripheral blood stem cell. 4. autologous.

Nursing