The patient with HIV complains to the home health nurse that he has been having watery diarrhea for the last 10 days. Because the nurse suspects toxoplasmosis, a significant ques-tion for the nurse to ask would be:
1. "Have you stopped taking your antiviral medication?"
2. "Have you been drinking alcohol?"
3. "Have you been eating aged cheese or organ meats?"
4. "Do you have a cat?"
4
Cat litter boxes and undercooked meats are the major sources of toxoplasmosis, which causes a persistent watery diarrhea.
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The nurse is reinforcing foot care teaching with a client who has just been diagnosed with diabetes. Information to review includes: Standard Text: Select all that apply
1. Letting the feet air-dry after washing. 2. Checking the water temperature before immersing the feet in water. 3. Cutting toenails weekly. 4. Exercising the feet several times daily. 5. Avoiding walking barefoot.
An older patient has osteoporosis and is reluctant to exercise because "I already have a bone problem, so how will it help?" What response by the nurse is best?
a. It can improve posture, balance, and re-duce falls. b. It will give you heart-healthy benefits. c. Exercise will make you feel younger. d. If you join a gym, you can socialize with new people.
N older adult is prescribed lansoprazole
A(Prevacid) 15 mg orally each day. The patient asks you why a daily multivitamin has also been prescribed. What is your best response? a. "As you get older you need vitamin tablets to ensure that you get the minimum daily requirements." b. "Lansoprazole is a proton pump inhibitor (PPI) and these drugs interfere with absorption of all vitamins from the GI tract." c. "Taking a daily multivitamin is important because proton pump inhibitor drugs decrease the absorption of vitamin B12 and calcium." d. "Older adults have more difficulty processing vitamins and minerals from the daily foods consumed."
In regard to cultural sensitivity, the DSM-IV-TR:
a. does not address cultural sensitivity in any way b. has one axis designated for cultural data only c. alerts the clinician to evaluate each client's cultural frame of reference in the assessment d. provides a decimal point designation for each specific culture from a list of different cultures