Nokea
The healthcare professional is developing a care plan for a client with depression. What should be included in the plan?
- A. Regular physical activity
- B. Scheduled sleep patterns
- C. Social interaction with family and friends
- D. All of the above
Correct Answer: D
Rationale: A comprehensive care plan for a client with depression should include multiple components to address various aspects of health. Regular physical activity can help improve mood and overall well-being. Scheduled sleep patterns are essential as sleep disturbances are common in depression and can worsen symptoms. Social interaction with family and friends provides emotional support and reduces feelings of isolation. Therefore, including all these aspects in the care plan can help support the client's recovery. Choice D, 'All of the above,' is the correct answer because all the options are important components of a holistic care plan for depression. Choices A, B, and C are incorrect because each of these elements plays a crucial role in managing depression.
You may also like to solve these questions
The unlicensed assistive personnel (UAP) reports to the nurse that a client refused to bathe for the third consecutive day. What action is best for the nurse to take?
- A. Ask the client why the bath was refused
- B. Ask family members to encourage the client to bathe
- C. Explain the importance of good hygiene to the client
- D. Reschedule the bath for the following day
Correct Answer: A
Rationale: The correct action for the nurse to take is to ask the client why the bath was refused. Understanding the client's reasons for refusal can guide appropriate interventions, respecting client autonomy while addressing any underlying issues. Choice B is not the best course of action as involving family members may not address the client's specific concerns. Choice C, while important, may not directly address the immediate refusal to bathe. Choice D does not address the underlying reasons for the refusal and may not lead to a resolution.
When teaching a client about managing hypertension, what dietary advice should be emphasized?
- A. Reduce sodium intake
- B. Increase potassium intake
- C. Limit alcohol consumption
- D. All of the above
Correct Answer: D
Rationale: When managing hypertension, it is crucial to adopt comprehensive dietary changes. This includes reducing sodium intake to help lower blood pressure, increasing potassium intake to counteract the effects of sodium and help regulate blood pressure, and limiting alcohol consumption as excessive alcohol can raise blood pressure. Therefore, emphasizing all the options provided (A, B, and C) is essential in effectively managing hypertension and reducing overall cardiovascular risk. Choices A, B, and C are not individually sufficient as a single dietary modification but collectively work together to support blood pressure management.
A client with a diagnosis of osteoporosis is prescribed alendronate (Fosamax). What is the most important instruction the nurse should provide?
- A. Take the medication in the morning on an empty stomach.
- B. Take the medication at bedtime.
- C. Remain upright for at least 30 minutes after taking the medication.
- D. Take the medication with a full glass of water.
Correct Answer: D
Rationale: The most important instruction the nurse should provide to a client prescribed alendronate (Fosamax) for osteoporosis is to take the medication with a full glass of water. This is crucial to help prevent esophageal irritation. Option A is correct as alendronate should be taken in the morning on an empty stomach. Option C is incorrect because the client should remain upright for at least 30 minutes after taking the medication, not lie down. Option B is incorrect and a duplicate of Option A.
The nurse is providing discharge instructions to a client with a diagnosis of peptic ulcer disease (PUD). Which dietary recommendation is most appropriate?
- A. Increase fiber intake.
- B. Avoid spicy foods.
- C. Avoid dairy products.
- D. Consume a high-fat diet.
Correct Answer: B
Rationale: The most appropriate dietary recommendation for a client with peptic ulcer disease (PUD) is to avoid spicy foods. Spicy foods can irritate the stomach lining and exacerbate symptoms of PUD. Increasing fiber intake may be beneficial for other gastrointestinal conditions but is not the primary concern for PUD. Avoiding dairy products is not a general recommendation for PUD unless the individual has a specific intolerance. Consuming a high-fat diet can increase the risk of exacerbating PUD symptoms due to the delayed gastric emptying associated with high-fat meals.
The nurse is caring for a client with cirrhosis of the liver. Which clinical finding is most concerning?
- A. Jaundice.
- B. Ascites.
- C. Spider angiomas.
- D. Asterixis.
Correct Answer: D
Rationale: The correct answer is D, Asterixis. Asterixis, also known as liver flap, is a sign of hepatic encephalopathy, a severe complication of liver disease that necessitates immediate attention. While jaundice (choice A), ascites (choice B), and spider angiomas (choice C) are common clinical findings in cirrhosis, asterixis is the most concerning due to its association with hepatic encephalopathy, which can lead to altered mental status and even coma. Jaundice, ascites, and spider angiomas are also important signs in cirrhosis, but asterixis indicates a more critical condition requiring urgent intervention.