The nurse notes which finding as normal on assessment of an older adult client's abdomen?
a. Hyperactive bowel sounds in all quadrants
b. Decreased fatty deposits over the abdomen
c. Marked concavity of the abdominal contour
d. Report of heartburn after most meals
ANS: D
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An adult patient's current goals of rehabilitation focus primarily on self-care. What is a priority when teaching a patient who has self-care deficits in ADLs?
A) To provide an optimal learning environment with minimal distractions B) To describe the evidence base for any chosen interventions C) To help the patient become aware of the requirements of assisted-living centers D) To ensure that the patient is able to perform self-care without any aid from caregivers
How can a nurse improve decision-making skills? Select all that apply
1. Work with a group on a continual basis. 2. Gain experience in the clinical area. 3. Work on improving self-confidence. 4. Maintain a positive attitude. 5. Keep an open mind about options. 6. Maintain an atmosphere of trust.
The nurse talks to a patient about the health risks related to smoking and the patient says, "My husband has been nagging me about that,
but I really don't smoke all that much and don't see it as much of a problem in my case." Within what transtheoretical stage of change would the nurse classify this patient as operating? a. Precontemplation b. Contemplation c. Preparation d. Action Stage
A community health nurse is working in a large urban city, situated in a culturally diverse area of the country. What does the nurse need to do to be culturally competent
A) Recognize that people with cultural backgrounds different from our own have unique values, life ways, health practices, and interpersonal styles. B) Understand and address the total context of the client's situation, using knowledge, attitudes, and skills. C) Be aware that people adapt to and borrow traits from another culture and change their own cultural patterns to those of the host society. D) Remember that an individual's own traditional beliefs and practices of their culture must always be observed.