An older client who is a recent widow has lost 20 lbs. over the past three months. What should the nurse consider as being the most likely explanation for this client's weight loss?
a. Food insecurity
b. Multiple medications
c. Decrease in opportunities for social interactions
d. Depression and sense of loss over spouse's death
d. Depression and sense of loss over spouse's death
Loss of appetite because of pain, medication side effects, gastrointestinal symptoms, sadness, or depression can all lead to decrease dietary intake. The other choices can lead to undernutrition in the older adult, but would have most likely existed before the passing of the spouse. In addition, there is no information to support these conditions.
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Which should the nurse do when counseling a teenage client who has decided to relinquish her baby for adoption?
a. Question her about her feelings regarding adoption. b. Tell her she can always change her mind about adoption. c. Affirm her decision while acknowledging her maturity in making it. d. Ask her if anyone is coercing her into the decision to relinquish her baby.
The nurse realizes an alteration in growth hormone can lead to changes in an individual's physical stature. What condition should the nurse suspect is being caused by abnormally high levels of growth hormone in a patient?
1. acromegaly 2. dwarfism 3. hirsutism 4. gynecomastia
The nurse is interviewing a client on iron therapy. Which of the client statements best indicates client compliance with therapy:
a. "My constipation is much better." b. "My stomach gets upset every time I take the iron pill." c. "My stools are darker than usual.". d. "I take my iron pills three times a day, just like I was told."
A client admitted to a Veterans Administration (VA) hospital with a diagnosis of major depressive disorder tells the nurse, "I failed my battalion by giving the wrong order. Fortunately, no one was injured"
Which nursing diagnosis should the nurse assign to this client? A. Chronic low self-esteem B. Risk for self-directed violence C. Powerlessness D. Situational low self-esteem