An older patient asks why he needs a multivitamin supplement. The patient has always been healthy, has excellent nutrition, and has never needed vitamins. What explanation by the nurse is best?
a. Older people tend to eat fewer calories, so it's harder to get nutrients.
b. You need to have extra nutritional re-serves in case of sudden illness.
c. It's recommended in all the nutritional guidelines for older adults.
d. Now that you are older, your good nutri-tional habits are not enough.
A
Older people do tend to eat fewer calories, making it more difficult to get all the needed nu-trients. Stating that old habits are no longer good enough is not quite accurate. Extra nutritional reserves are a good idea, but the patient may not feel vulnerable to illness. Stating that it is in the nutritional recommendations does not give the patient useful information.
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The nurse plans care for an older African American adult who is from Jamaica and resides in New York City. Which should the nurse include in planning care?
a. Attribute his illness to breaking a voodoo. b. Help him improve social relationships. c. Maintain blood pressure below 120/70 mm Hg. d. Review the principles of the magicoreli-gious system.
A seasoned nurse notes that a novice nurse voices frustration and a lack of appreciation for clients with differing health care beliefs and practices. Which action will best assist the seasoned nurse to improve the novice nurse's practice?
1. Advising the novice to reduce displays of frustration and lack of appreciation for the values of others. 2. Encouraging the novice to look closely at own cultural practices and beliefs. 3. Recommending a written reprimand for the novice nurse. 4. Requiring the novice nurse to meet with a counselor concerning ethnic biases.
A patient begins medication therapy for hypertension. Which reason is most likely to make the scheduled teaching plan change for this patient?
a. The patient's outlook for her condition changes. b. The patient writes down some of the information. c. The patient has no questions after being taught. d. The patient's systolic blood pressure falls below 60 mm Hg with therapy.
The key to achieving the goals of Health for All in the 21st Century (HEALTH21) is the world-wide:
a. cure of communicable disease. b. technological development of all nations. c. availability of health care insurance. d. implementation of primary health care.