A home health nurse is assisting a patient who is chronically ill with congestive heart failure to reorder time. What is the best intervention to assist this patient?
a. Encouraging the patient to get up earlier or to go to sleep later
b. Developing a daily schedule that allows time for activities, as well as for medical regimens
c. Giving up time-consuming activities such as watching television or answering e-mail messages
d. Encouraging the patient to complete only one task a day
B
Reordering time is developing a schedule that includes not only a medical regimen, but it also includes social and interpersonal activities, as well as hobbies.
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A gerontologic nurse is advocating for diagnostic testing of an 81-year-old patient who is experiencing personality changes. The nurse is aware of what factor that is known to affect the diagnosis and treatment of brain tumors in older adults?
A) The effects of brain tumors are often attributed to the cognitive effects of aging. B) Brain tumors in older adults do not normally produce focal effects. C) Older adults typically have numerous benign brain tumors by the eighth decade of life. D) Brain tumors cannot normally be treated in patient over age 75.
A prepubescent client who is a gymnast trains for many hours every day and is concerned about eating a nutritious diet. Which is the best response by the nurse?
a. "You should probably quit." b. "You just need to eat three good meals every day." c. "If you don't eat enough, you have a higher risk of developing bone cancer." d. "Could we talk about some of the barriers that prevent you from eating well?"
The nurse assesses the patient who receives continuous enteral nutrition through a nasointestinal tube. What is the priority intervention by the nurse if the patient's bowel sounds are inaudible?
a. Document "absent bowel sounds.". b. Gradually decrease the rate of the tube feeding. c. Monitor the patient for possible diarrhea. d. Stop the feeding and notify the healthcare provider.
A nurse manager has the reputation of being an autocratic leader. Which of the following statements by this manager would support that reputation?
1. "I'd like to hear from you (addressing the staff) what your ideas are for promoting better morale in this unit." 2. "I'm putting a suggestion box in the break room if anyone has ideas that would be helpful to the unit." 3. "The new work schedule is posted for the next 6 weeks." 4. "I put the new procedure manual out. Please add your comments to the blank sheet of paper attached to the front."