The nurse case manager is concerned about a particular client being discharged from the hospital. Which factors should alert the nurse to possible problems with this client's adherence to treatment?

1. The prescribed therapy is costly and of unknown duration.
2. The therapy will require no lifestyle changes of the client.
3. The client has not had difficulty understanding the regimen.
4. The client's culture is supportive of Western medicine.


Correct Answer: 1
Rationale: Adherence to a particular therapy can be compromised if the therapy is expensive or if the duration of the proposed therapy is long.

Nursing

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The hospice nurse explains that to qualify for admission to a hospice, the attending physician must certify that the patient has a life expectancy of fewer than how many months?

a. 2 months b. 3 months c. 4 months d. 6 months

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While the nurse at the personality disorders clinic is interviewing a client, the client constantly scans

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The patient has consumed 660 milligrams of caffeine during the last eight hours. The patient states that he consumes this amount of caffeine on a regular basis. After reviewing the information included in the chart provided,

which patient statement is consistent with the information provided? 1. "I don't know why but I just can't get to sleep." 2. "I always feel cold." 3. "I have been so constipated." 4. "I have no appetite."

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The nurse is caring for a pregnant client who has been told her fetus has erythroblastosis fetalis. The client asks the nurse to explain what that means. The nurse's best response would be:

A) "It is a serious anemia that could kill the fetus." B) "Your blood is destroying the baby's blood." C) "The baby doesn't have enough oxygen-carrying blood cells." D) "The baby's blood is destroying your blood cells."

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