A postmenopausal client asks the nurse what she can do to prevent fracturing her hips since her mother and grandmother both experienced this health problem. Which of the following should the nurse instruct this client?
1. Avoid exercise.
2. Limit sun exposure.
3. Do not smoke.
4. Use throw rugs throughout the home.
3. Do not smoke.
Rationale:
The one modifiable risk factor for hip fractures is smoking. Women who smoke have a greater risk because smoking reduces bone density in menopausal and postmenopausal women. The client should not be instructed to avoid exercise; exercise will enhance the client's gait, balance, and musculoskeletal strength. Limiting sun exposure will not impact the client's risk of experiencing a hip fracture. The nurse should not instruct the client to use throw rugs throughout the home because this could cause tripping, leading to a fall.
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Which of the following statements regarding the impact of managed health care on the delivery of psychiatric services is true?
1. Managed mental health care has resulted in shorter, more intense psychiatric hospital stays to keep costs down. 2. Clients are admitted to hospitals in earlier stages of psychiatric illnesses. 3. Cost containment has created an entire range of ambulatory care services that are considered ineffective. 4. Shorter models for psychiatric services and outpatient treatment do not meet the lifestyle needs of clients and their employers.
The nurse interviews the client at a yearly office visit. The client states "I don't really eat that much, I'm not that hungry, but I keep gaining weight. Just look at my fat face!" Which of the following conditions should the nurse suspect?
A) Hyperlipidemia B) Hypothyroidism C) Diabetes D) Peripheral vascular disease
The advanced practice nurse (APRN) is caring for a patient who recently relocated from another city. The patient is reporting depressive symptoms and no previous history of depression
Which therapy will the APRN be most likely to discuss with the patient? 1. Pharmacotherapy 2. Psychological first aid 3. Cognitive-behavioral therapy 4. Critical incident stress debriefing
The nurse believes that an adequate understanding of arbitration through the traditional collective bargaining unit has been obtained. Which of the following statements supports this belief?
a. "Arbitration is a management technique to discharge an employee.". b. "Arbitration is useful to resolve conflicts having a basis in the labor-management" contract. c. "Arbitration is always used before the formal grievance process.". d. "Arbitration is a process used to establish nursing standards.".