Nokea
Which statement made by a client demonstrates a prominent behavior related to noncompliance with prescribed treatment?
- A. I broke my hip last fall and it's still hard to get around.'
- B. I have type 2 diabetes but I can still eat the way I always have.'
- C. Weight has been a problem I've struggled with my entire adult life.'
- D. My wife says I need to exercise if I'm ever going to get my blood pressure down.'
Correct Answer: B
Rationale: The correct answer is B because the client's statement indicates a lack of adherence to prescribed treatment for type 2 diabetes, which typically includes dietary modifications. The client's belief that they can continue eating the same way shows a resistance to making necessary lifestyle changes. Choices A, C, and D do not directly relate to noncompliance with prescribed treatment but rather reflect challenges or concerns related to health issues.
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The most appropriate nursing intervention with Ginger (from question 7) would be to:
- A. Suggest she move to a college closer to home.
- B. Work with Ginger on unresolved dependency issues.
- C. Help her find someone in the college town from whom she could seek assistance rather than calling her mother regularly.
- D. Recommend that the college physician prescribe an antianxiety medication for Ginger.
Correct Answer: B
Rationale: The correct answer is B: Work with Ginger on unresolved dependency issues. This is the most appropriate nursing intervention because it addresses the underlying problem that is leading Ginger to excessively rely on her mother for support. By working with Ginger on resolving her dependency issues, the nurse can help her develop healthier coping mechanisms and improve her independence.
A: Suggest she move to a college closer to home - This does not address the root cause of Ginger's dependency issues and may not be a feasible or necessary solution.
C: Help her find someone in the college town from whom she could seek assistance rather than calling her mother regularly - While this option offers an alternative support system, it does not address the core issue of dependency that Ginger is experiencing.
D: Recommend that the college physician prescribe an antianxiety medication for Ginger - Medication may be helpful in managing symptoms, but it does not address the underlying dependency issues that Ginger is facing.
The treatment team plans care for a person diagnosed with paranoid schizophrenia and cannabis abuse. The person has recently used cannabis daily and is experiencing increased hallucinations and delusions. Which principle applies to care planning?
- A. Consider each diagnosis primary and provide simultaneous treatment.
- B. The person will benefit from treatment in a residential treatment facility.
- C. Withdraw the person from cannabis, and then treat the symptoms of schizophrenia.
- D. Treat the schizophrenia first, and then establish the goals for the treatment of substance abuse.
Correct Answer: A
Rationale: Correct Answer: A
Rationale:
1. Dual diagnosis: Simultaneous treatment is crucial as both conditions impact each other.
2. Cannabis withdrawal may worsen schizophrenia symptoms, so treating both concurrently is essential.
3. Addressing both diagnoses concurrently increases treatment effectiveness.
4. Residential treatment may not be necessary at this stage without considering simultaneous treatment.
Summary:
B: Residential treatment may not be needed immediately; focus on simultaneous treatment.
C: Withdrawal may worsen schizophrenia symptoms; treating both conditions concurrently is preferable.
D: Treating schizophrenia first may not address the immediate exacerbation of symptoms due to cannabis use.
An adult has a history of physical violence against family when frustrated, followed by periods of remorse after each outburst. Which finding indicates a successful plan of care? The adult:
- A. expresses frustration verbally instead of physically.
- B. explains the rationale for behaviors to the victim.
- C. identifies three personal strengths.
- D. agrees to seek counseling.
Correct Answer: A
Rationale: The patient will have developed a healthier way of coping with frustration if it is expressed verbally instead of physically. The incorrect options do not confirm achievement of outcomes.
Health related behavior include:
- A. A.Smoking
- B. Eating
- C. pain control
- D. all of these
Correct Answer: D
Rationale: Health behaviors like smoking, eating, and pain control are influenced by self-efficacy (Bandura).
The nurse is managing the care of a client who recently lost his job and is diagnosed with mild situational depression. During the assessment interview, the client volunteered that he stopped attending school in the 8th grade. The nurse is satisfied that a client's lack of formal education has not become a risk factor to his mental health when he:
- A. Asks the nurse to provide him with materials on depression to read.
- B. Reflects on his problem and formulates a realistic plan to find another job.
- C. Signs a safety contract that states he will notify staff of any suicidal ideations he develops.
- D. Promises to attend his group sessions and take his prescribed antidepressant medication.
Correct Answer: B
Rationale: Correct Answer: B
Rationale:
1. Reflecting on his problem and formulating a realistic plan to find another job shows the client's ability to cope and problem-solve, indicating resilience.
2. This demonstrates that the client is actively engaging in positive behaviors to address his situation, which is crucial in managing situational depression.
3. By formulating a plan, the client shows motivation and initiative, which are essential in overcoming challenges.
4. Options A, C, and D do not directly address the client's situation of job loss and his need to find employment, making them less relevant in this context.