A community health nurse visits an older adult whose spouse died 6 months ago. Three vodka bottles are in the trash. The person says, "I get lonely and drink a little to help me forget." Select the nurse's most therapeutic intervention
a. Teach the person about alcoholism, and suggest other coping strategies.
b. Request a mental health consultation to assess for alcohol dependency.
c. Advise the person not to drink alone, because the risks for injury increase.
d. Arrange for the person to attend an Alcoholics Anonymous (AA) meeting for older adults.
D
This patient needs help with alcohol abuse as well as social involvement. The AA meeting for older adults will provide an opportunity for peer bonding and reminiscing as well as strategies for coping with stress without abusing alcohol. The other options are unnecessary or ineffective.
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A nurse instructing a group of parents about safety rules for infants and young children should instruct the parents to:
a. remove plants from the child's reach. b. provide the infant with a pillow at night. c. use a plastic covering on the infant's mattress. d. keep the crib sides up and set the mattress at the highest setting.
An infant has a patent ductus arteriosus. This anomaly occurs when:
a. The opening between the right and left atria fails to close after birth. b. The structure that shunts blood from the pulmonary artery to the aorta remains open after birth. c. The aorta arises from the right ventricle and the pulmonary artery originates from the left ventricle. d. There is a narrowing of the aorta near the level of the ductus arteriosus.
The nurse is caring for a client diagnosed with Huntington's disease. Which of the following are considered hallmark clinical manifestations of this disorder? (Select all that apply.)
1. Intellectual decline 2. Weight loss 3. Decreased appetite 4. Reduced blood pressure 5. Nausea 6. Abnormal movements
Ethically, what is the nurse's best action when he believes a medication error has been made?
1. Immediately make the care provider aware of the error. 2. Attempt to correct the error to avoid any punitive actions. 3. Fill out the safety report, using it to report the error to the nurse manager. 4. Call the charge nurse to get advice as to the next action needed.