Al Granger, 75 years old, has a history of chronic alcohol abuse. Which of the following statements would best describe his physical status?
a. Compromised dietary intake and nutritional status
b. Inappropriate weight gain
c. Inability to participate in any physical exer-cise program
d. Intact cognition and problem-solving ability
A
The physiological and socioeconomic effects of chronic alcohol use negatively affect the older adult's dietary practices and nutritional status. Alcohol abuse would contribute to weight loss rather than gain (response B) and is often cited as a causative factor of cognitive impairment (response D). All older adults need to participate in a physical exercise program that promotes their highest level of function.
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What is the best response by a nurse when a patient inquires how alcohol acts so quickly on his system?
a. Alcohol is digested quickly. b. Alcohol is converted to glycogen immediately. c. Alcohol is metabolized into ethanol rapidly. d. Alcohol is excreted in urine slowly.
The nurse instructs an anxious mother of a child with Rocky Mountain spotted fever that the disease is:
a. extremely contagious among humans. b. contracted from handling unvaccinated animals. c. a hemolytic B Streptococcus infection spread by droplet transmission. d. a serious disease contracted from the bite of a tick.
When the nurse learns that the assigned clients include a child with aplastic anemia, the nurse knows that this is a condition involving:
a. production of an inadequate number of erythrocytes b. lack of, or deficiency in, factor V c. circulation of highly moldable platelets d. production of inadequate amounts of hemoglobin
A nurse has just transferred from a general psychiatric unit to work on a forensic psychiatric unit
The nurse finds it easier to communicate with these clients because, for the most part, their inappropriate behaviors and cognitive disorders have responded positively to treatment. Many of the clients have been on the unit for 3 or more years, and the nurse has been unable to note any indicators of psychiatric problems in several of the clients. The nurse has grown exceptionally close to one client who has gone out of his way to make the nurse feel welcome and appreciated. One afternoon in December, the client asks the nurse for her address so he can send her a Christmas card. Which response by the nurse would be most appropriate? A) "Sure, let me write it down for you; it would be great to hear from you." B) "I read that you molested a 4-year-old girl. I have a 2-year-old child. I would be crazy to give you my address." C) "We need to get to know each other better before I would feel comfortable about giving you my address." D) "It is inappropriate for me to give you my address because our relationship is professional rather than social."