You are working with an older male adult with a long history of alcohol abuse and a 30-year history of smoking. In recommending an intervention for this client, your responsibility is to
A. Make the individual abandon his own health practices and follow your recommendations
B. Register the patient for a local intervention program and secure payments
C. Promote positive change in lifestyle choices
D. Identify the barriers that the client will encounter
C
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The client has hallucinations, delusions, and feelings of paranoia. She lacks judgment, behaves impulsively, and shows little insight. Her behaviors are often inappropriate, ritual-istic, or repetitive. She is diagnosed as
1. anxious. 2. suicidal. 3. depressed. 4. psychotic.
The nurse caring for an immunosuppressed patient is diligent about protecting the patient from infection. When visitors come in, in addition to having them put on isolation garb, the nurse would prohibit them bringing:
1. a battery-operated DVD player. 2. books. 3. potted plants. 4. boxed candy.
The client and her partner are carriers of sickle cell disease. They are considering prenatal diagnosis with either amniocentesis or chorionic villus sampling (CVS)
Which statements indicate that further teaching is needed on these two diagnostic procedures? (Select all that apply.) A. "Chorionic villus sampling carries a lower risk of miscarriage." B. "Amniocentesis can be done earlier in my pregnancy than CVS." C. "Neither test will conclusively diagnose sickle cell disease in our baby." D. "The diagnosis comes sooner if we have CVS, not amniocentesis." E. "Amniocentesis is more accurate in diagnosis than the CVS."
A parent of a 7-year-old girl with a repaired ventricular septal defect (VSD) calls the cardiology clinic and reports that the child is just not herself. Her appetite is decreased, she has had intermittent fevers around 38o C (100.4o F), and now her muscles and joints ache. Based on this information you advise the mother to:
a. immediately bring the child to clinic for evaluation. b. come to the clinic next week on a scheduled appointment. c. treat the symptoms with acetaminophen and fluids, since it is most likely a viral illness. d. recognize that the child is trying to manipulate the parent by complaining of vague symptoms.