A client has been using diet and exercise to try to reduce LDL cholesterol. Today's lab work reveals a 3% drop in LDL concentration in the last two months. Which nursing comment is indicated?
1. "You are probably going to have to go on medication to get your cholesterol under control."
2. "You need to eat less and exercise more."
3. "Some people have a genetic predisposition to high cholesterol."
4. "Your risk for coronary heart disease has dropped by 3%."
4
Rationale 1: This is not the most therapeutic statement.
Rationale 2: This is not a therapeutic statement.
Rationale 3: This statement is true but is less effective or instructive than another.
Rationale 4: This statement reflects the 1% decrease in risk for each 1% decrease in LDL levels and is a positive encouragement.
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Which statement best captures the predominant societal view of sexuality in general and sexuality in older adults?
A) Sexuality has recently become valued and normalized in both older and younger adults. B) There is an acknowledgment that sexual interest and activity do not necessarily decline with age. C) There is societal recognition that the overall importance of sexuality remains high across the life span. D) Stigma and prejudice around sexuality in older adults persists despite changes in the societal view of sexuality in general.
The nursing diagnosis established for a client with fluctuating levels of consciousness, disturbed
orientation, and visual and tactile hallucinations that should be given priority is a. bathing/hygiene self-care deficit related to altered cerebral function, as evidenced by confusion and inability to perform personal hygiene tasks. b. risk for injury related to altered cerebral function, as evidenced by sensory perceptual alterations and unstable gait. c. disturbed thought processes related to altered cerebral function resulting from medication intoxication, as evidenced by confusion, disorientation, and hallucinations. d. fear related to sensory perceptual alterations, as evidenced by hiding from hallucinated dog and wanting nurse to remove hallucinated bugs from her legs.
Which physical assessment technique would be used to identify rales?
1) Inspection 2) Palpation 3) Percussion 4) Auscultation
Which of the following questions would be helpful in eliciting data about the effects of stress during a health history?
A) "Why are you having so much difficulty breathing at night?" B) "Why do you think smoking and drinking will calm you?" C) "Do you often drink too much and have hangovers?" D) "How does your body feel when you are upset?"