An 85-year-old male lives at home alone. His wife of 60 years died 2 years ago. Six months ago, he had an MI and coronary bypass surgery. He attends a class on health promotion at the senior center
His affect is very flat and he gets teary whenever he talks. The nurse should initially assess
A) his cardiac status.
B) whether or not he is taking his cardiac medication as ordered.
C) if he is suffering from depression.
D) for alcohol and drug use.
C
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A toddler shows fear and begins to cry when her parent leaves her at day care. According to Havighurst, which developmental task should the nurse recognize this child is exhibiting?
1. Building wholesome attitudes toward oneself 2. Learning to get along with age-mates 3. Learning to relate emotionally 4. Achieving personal independence
Keegan, a 9-year-old patient, has been brought to the pediatric clinic for an influenza vaccine. The nurse knows that this is Keegan's first time receiving the vaccine
The nurse knows the mother understands the instructions for the vaccine when she states: 1. "I will not need to make sure he receives the vaccine every year.". 2. "I cannot let him be around other children for at least 12 hours because he is contagious.". 3. "I will need to watch him to see if he has an allergic reaction to eggs after this vaccine.". 4. "I will need to bring him back in for a second immunization in four weeks.".
A nurse is required to educate nursing students about the mechanisms that antibodies use to destroy antigens. Which ways do antibodies destroy antigens?
1 . Destroy toxins 2 . Facilitate phagocytosis 3 . Imprison invader cells 4 . Complementing fixation A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4
The nurse using the Health Belief Model is evaluating a client's statement for competing preferences. Which statement should the nurse recognize is a competing preference?
A. "I will have to miss going to the gym because I have to work overtime." B. "I cannot make it to the gym because I do not have childcare." C. "I am going to skip the gym today and have lunch with a friend." D. "I have to attend a meeting with my child's teacher so I cannot go to the gym.