After a lifetime of good health, a 72-year-old man has been found ...

[javeds]

After a lifetime of good health, a 72-year-old man has been found to have severe hypertension. What can his nurse do that most clearly prioritizes the role of monitoring that nurses play in the management of health challenges?
 
  A) Liaising between his family physician and his cardiologist to ensure that appointments do not conflict and communication is maintained.
  B) Guiding the client toward the purchase of a home blood pressure cuff and keeping up to date on his regular readings.
  C) Teaching the client about lifestyle changes that his condition necessitates and that will ensure his high level of function.
  D) Educating the client about the basic pathophysiology that underlies his condition.

Question 2

A community health nurse has been invited to speak to a group of older adults in the context of the local community center.
 
  Which of the following nursing actions best reflects an approach that emphasizes the importance of health promotion in gerontological nursing care? A) A teaching session on the signs and symptoms of stroke, along with current treatment modalities.
  B) An educational presentation on the importance of prostate screening for men and mammography for women.
  C) A class that presents the beneficial effects of regular exercise and practical methods for integrated exercise into daily routines.
  D) A presentation on the issue of elder abuse and ways to identify and prevent it.

[EAN94]

Answer to Question 1

B
Feedback:
Monitoring entails tracking the status of a client's health condition, as could be done by using a BP cuff and staying abreast of results. Answer A indicates a coordination role, while answers C and D reflect coaching and education, respectively.

Answer to Question 2

C
Feedback:
Exercise is one of the clearest examples of health promotion. Teaching on a particular diagnosis such as stroke, a screening program addressing prostate and breast health and psychosocial issues such as elder abuse are certainly valid, but are less clearly indicative of health promotion in nursing care.

[javeds]

TYSM

[ryhom]

Excellent