A 44-year-old client who has had a myocardial infarction complies with the treatment regimen but avoids discussing the illness with health care providers and family members. What is the nurse's interpretation of this client's behavior?
A. The client is using denial.
B. The client is clinically depressed.
C. The client is expressing underlying anger.
D. The client is demonstrating grief and loss.
A
The client is using denial as a means of decreasing anxiety and minimizing threat. This type of denial decreases anxiety and should not be discouraged. Denial that leads to acting out and re-fusing to follow the treatment regimen can be harmful to the client.
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Mr. Howe is an immobile 79-year-old man. He is complaining of leaking urine and constipation. Mr. Howe probably has
a. A fecal impaction, causing overflow incontinence b. Diabetes c. Congestive heart failure d. Alzheimer's disease
The LPN/LVN suggests to the RN that the nursing care plan be modified to include referral to an adult day care center for which benefit(s)? (Select all that apply.)
a. Overnight care b. Respite care for the family c. Social interaction for the patient d. Mental stimulation for the patient e. Supporting maintenance of the ADLs
The nurse instructs a client with type 2 diabetes mellitus regarding foot care. In addition to keeping the feet clean and dry, the nurse may also offer which additional advice?
1. "Walk on bare feet to promote circulation." 2. "Wear nylon socks to keep your feet warm." 3. "Wear open-toe shoes to avoid pressure around toenails." 4. "File your toenails straight across. Avoid using scissors."
Which of the following interventions should the nurse perform to prevent drying of the oral mucous membranes and lips in a dying client?
A) Place the client in a cool temperature. B) Provide water to the client at regular intervals. C) Provide the client with absorbent pads. D) Provide oral care, ice chips, and petroleum jelly.