The staff development instructor is planning an inservice for nursing staff on the theories of aging. What should the instructor include about immune dysregulation?
1. Immune cells attack the normal body tissues.
2. The ability to differentiate between invaders and normal tissues diminishes with age.
3. The immune system is not able to defend the body from foreign invaders with age.
4. Changes in the immune system disrupt the regulation of immune process components.
4
Rationale: Immune dysregulation is caused by changes in the immune system which disrupt the regulation between the components of the immune process. This does not mean that immune cells attack normal body tissues.
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A client is experiencing acute exacerbation of ulcerative colitis with 12 to 16 bloody stools per day and cramping abdominal pain. The nurse should explain that to promote bowel rest the client should expect to receive:
1. intravenous corticosteroids. 2. total parenteral nutrition (TPN) for 2 weeks. 3. nothing by mouth (NPO) for several days. 4. a nasogastric tube
The nursing staff from a community hospital is attending a conference to learn how to use a closed chest tube collection device instead of the previously used glass bottle with 500 cc of sterile water
The nurse realizes this conference ensures that all nurses will practice chest tube care according to: 1. National standards of care. 2. The Joint Commission provision of care accreditation standards. 3. Cost-effective methods. 4. National Patient Safety goals.
If you were discussing the Mental Health and Mental Disorders Objectives for the year 2010 identified in Healthy People 2010: National Health Promotion and Disease Prevention Objectives with a friend, how might you best summarize some of the ways it
suggests expanding mental health treatment? A) Tell them it suggests increasing mental health treatment in a variety of ways, and explain that some of the suggestions focus on increasing screening and assessment activities, meeting the needs of children and juveniles, reducing relapse rates for eating disorders, and increasing the numbers of adults who receive treatment for mental disorders and co-occurring substance abuse and mental disorders. B) Explain that the identified objectives predominately focus on meeting the needs of the elderly population, which increase significantly over the next decade or so as baby boomers age. Tell them that the needs of infants will also be targeted so that future generations will not have as many mental health problems. C) Discuss how the objectives focus on federal rather than state-level initiatives; thus, effectively shutting state legislatures out of the loop when it comes to making decisions about how health care monies should be allocated. D) Explain that the objectives emphasize the need for mental health care to be consumer and family driven and disparities in mental health services eliminated with screening, assessment, and referral to mental healthy services becoming common practice.
Two of the central components of Rogers' work include openness and pan-dimensionality. Which of the following did Rogers consider to be the focus of nursing practice?
A) Unitary human being B) Time and space C) Energy field D) Expanding consciousness