A client asks about the difference between the New York Heart Association (NYHA) and American Heart Association/American College of Cardiologists (AHA/ACC) heart failure classification models
Which response by the nurse is the most appropriate?
1. "The NYHA classifications omit asymptomatic clients."
2. "The AHA/ACC model includes extra classifications for the most severe cases.'
3. "There is no true difference between the classifications."
4. "The AHA/ACC classifications include clients who do not have, but are at risk for, heart failure
Correct Answer: 4
Rationale 1: NYHA stage 1 is for clients with no symptoms.
Rationale 2: The AHA/ACC model does have an extra classification, but it is for clients at risk for heart failure, not severe cases.
Rationale 3: There is a difference between the two classifications.
Rationale 4: The AHA/ACC model includes an additional classification for clients who do not have heart failure but are susceptible.
Global Rationale: The AHA/ACC model includes an additional classification for clients who do not have heart failure but are susceptible. NYHA stage 1 is for clients with no symptoms. The AHA/ACC model does have an extra classification, but it is for clients at risk for heart failure, not severe cases. There is a difference between the two classifications.
You might also like to view...
The nurse is caring for a patient who is to have testing for fecal occult blood. What step will the nurse perform during this testing?
a. Keep the patient on a clear liquid diet for 72 hours. b. Send the samples to the laboratory while they are still warm. c. Inform the patient that several stool samples will be needed. d. Use a sterile container when collecting the stool samples.
When planning interventions for a patient experiencing pain, the nurse assesses for a synergistic relationship, such as:
a. inflammatory process. b. circulatory disorder. c. food allergy. d. fatigue.
According to statistics, Baby J, born to a black American couple, has a life expectancy lower than that of Baby K, born to a white American couple
According to current demographic projections, by the seventh decade of life, Baby J's life expectancy will: A) Begin to equal that of similarly aged white elders B) Exceed that of similarly aged Asian elders C) Drop to less than half that of similarly aged Native American elders D) Rise above that of white elders until age 75 and then drop
A salesman has had difficulty holding a job because he accuses co-workers of conspiring to take his
sales. Today, he argued with several office mates and threatened to kill one of them. The police were called, and he was brought to the mental health center for evaluation. He has had previous admissions to the unit for stabilization of symptoms of paranoid schizophrenia. When the nurse meets him, he points at staff in the nursing station and states loudly "They're all plotting to destroy me. Isn't that true?" An appropriate response for the nurse would be a. "No, that is not true. People here are trying to help you if you will let them.". b. "Everyone here is trying to help you. No one wants to harm you.". c. "Thinking that people want to destroy you must be very frightening.". d. "That is absurd. Staff are health care workers, not members of the mob.".