A client who is recovering from her second myocardial infarction refuses to give up smoking. She states, "I've smoked so long now there's no point quitting as the damage is done." This statement is best understood in the context of which of the following?
a. Social learning theory
b. Pender's health promotion model
c. The transtheoretical model of change
d. Healthy People 2010
ANS: B
Pender's health promotion model serves as a guide for planning successful education with individuals and targeted high risk groups. A person's capacity to absorb and use health promotion information depends to a large degree on what the person believes about his or her health and the extent to which personal actions will influence their health. In social learning theory, motivation is a fundamental component of learning readiness. Motivation to change is a state of readiness that fluctuates. Healthy People 2010 represents the health promotion agenda for the nation.
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An 80-year-old man arrives in the emergency department after suffering a severe heart attack. His condition is deteriorating and the physician informs the wife, also an older adult, that they do not expect him to live
The wife begins to cry uncontrollably and tells the nurse, "We have been married for 60 years. What am I going to do?" What is the most appropriate response by the nurse? a. "You had a good life together. You just need to understand that death is part of life too." b. "I understand how you feel but he did live to 80 years old. That's a good long life." c. "I will get a social worker to see you for some help you may need at home." d. "I understand that this is an incredible and unexpected loss for you."
Hormone replacement therapy (HRT) is being discussed with a patient who is scheduled for a total hysterectomy
The patient should be informed she will be at an increased risk for which disorders as a result of HRT? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Breast cancer 2. Strokes 3. Venous thrombosis 4. Colon cancer 5. Heart attack
The client is receiving sodium bicarbonate intravenously (IV) for correction of acidosis secondary to diabetic coma. The nurse assesses cyanosis, slow respirations, and irregular pulse. What is the nurse's priority action?
1. Continue the infusion; the client is still in acidosis. 2. Increase the rate of the infusion and continue to assess the client for symptoms of acidosis. 3. Stop the infusion and notify the physician; the client is in alkalosis. 4. Decrease the rate of the infusion and continue to assess the client for symptoms of alkalosis.
A client with an NG tube is prescribed potassium chloride (KCl). Which intervention should the nurse anticipate to include in the administration of the prescription?
A. Dilute the drug prior to administration through the nasogastric tube. B. Flush the nasogastric tube with Coca-Cola before and after administration. C. Flush the nasogastric tube with normal saline before and after administration. D. Crush the tablet prior to administration through the nasogastric tube.