Nokea
Which statement by an older adult who has recently had hip replacement surgery supports that her positive attitude is contributing to her mental health wellness?
- A. I know I can't go hiking like I did, but I really miss it so much.'
- B. I can't go hiking, but I still enjoy walking in the park in the afternoon.'
- C. If I work really hard in rehab, I think I'll be able to hike again next spring.'
- D. Hiking gave me such pleasure, but if I can't hike, I'll just have to get used to it.'
Correct Answer: B
Rationale: The correct answer is B because it demonstrates a positive attitude and adaptability. The older adult acknowledges the limitation of not being able to hike but focuses on enjoying walking in the park, showing resilience and a proactive approach to finding joy in other activities. Choice A reflects a focus on what is missed, choice C is future-oriented without accepting the current situation, and choice D shows resignation rather than a positive outlook. Overall, choice B showcases a realistic yet optimistic perspective that supports mental health wellness after hip replacement surgery.
You may also like to solve these questions
Why might an immigrant patient be reluctant to participate in DOT?
- A. Immigrant patients are fearful of medical authority
- B. The patient may be fearful because of the loss of privacy or cultural misunderstanding
- C. The patient may have had a similar experience in his/her native country
- D. The patient may feel that DOT will make the illness worse
Correct Answer: B
Rationale: Privacy loss and cultural differences often deter immigrants from DOT participation.
The greatest benefit derived from current work being done related to pharmacogenetics is that:
- A. The cost of medication manufacturing will be drastically reduced.
- B. Research and development of new drugs will be much less costly.
- C. Medications will be designed so that they do not cause unwanted side effects.
- D. Medications will be formulated so that only one dose per day will be required.
Correct Answer: C
Rationale: The correct answer is C because pharmacogenetics allows medications to be designed based on an individual's genetic makeup, minimizing unwanted side effects. This is beneficial as it enhances treatment effectiveness and safety. Choice A is incorrect as cost reduction in manufacturing is not the primary focus of pharmacogenetics. Choice B is incorrect as research and development costs are not directly impacted by pharmacogenetics. Choice D is incorrect as the frequency of medication dosing is not the main benefit derived from pharmacogenetics.
A patient undergoing alcohol rehabilitation decides to accept disulfiram (Antabuse) therapy to avoid impulsively responding to drinking cues. Which information should be included in the discharge teaching for this patient? Select all that apply.
- A. Avoid aged cheeses.
- B. Read labels of all liquid medications.
- C. Wear sunscreen and avoid bright sunlight.
- D. Maintain an adequate dietary intake of sodium.
Correct Answer: B
Rationale: Step 1: Disulfiram causes a severe adverse reaction when combined with alcohol.
Step 2: Liquid medications may contain alcohol, causing a disulfiram-alcohol reaction.
Step 3: Reading labels of all liquid medications helps the patient avoid alcohol-containing products.
Step 4: A, C, and D are incorrect as they are not directly related to disulfiram therapy or alcohol avoidance.
A new patient in an alcoholism rehabilitation program says, 'I’m just a social drinker. I usually have a drink or two at brunch, a few cocktails in the afternoon, wine at dinner, and a few drinks in the evening.' Which response by the nurse will help the patient view the drinking more honestly?
- A. I see,' and use interested silence.
- B. I think you may be drinking more than you report.'
- C. Being a social drinker involves having a drink or two once or twice a week.'
- D. You describe drinking steadily throughout the day and evening. Am I correct?'
Correct Answer: D
Rationale: Step 1: The nurse needs to provide a reflection that highlights the patient's patterns of drinking.
Step 2: Option D reflects the patient's drinking pattern accurately and objectively.
Step 3: By repeating the patient's own words back to them, the nurse helps the patient see the extent of their drinking.
Step 4: This response encourages the patient to reflect on their alcohol consumption more honestly.
Step 5: Option D is correct as it addresses the patient's behavior directly and prompts self-reflection.
Summary:
- Option A is passive and does not challenge the patient's perception.
- Option B is confrontational and may lead to defensiveness.
- Option C provides a generalized definition of social drinking, not addressing the patient's specific behavior.
Registered nurses care for clients in many settings and environments. These clients can be individual clients, couples, families, populations and communities. You have decided to use the Dimensions Model of Health model to assess, monitor and evaluate the health status of the community. Which of these dimensions is NOT an element of this Dimensions Model of Health model?
- A. The Biophysical Dimension
- B. The Psychological and Emotional Dimension
- C. The Spiritual Dimension
- D. The Health Systems Dimension
Correct Answer: D
Rationale: Health Systems (D) is not a core dimension; others are.