Author Question: A 55-year-old client is recuperating from a myocardial infarction. At a follow-up visit to his ... (Read 53 times)

Mollykgkg · **on:** Jul 19, 2018

A 55-year-old client is recuperating from a myocardial infarction. At a follow-up visit to his
physician's office, he tells the nurse practitioner I have not had much interest in sex since my heart
attack.

My wife is wondering if something's wrong with me. The truth is, I know having sex puts a
strain on my heart and I do not know if my heart is strong enough.. The nursing diagnosis for this
client should be written as
a. sexual dysfunction related to self-esteem disturbance.
b. sexual dysfunction related to knowledge deficit resulting in fear.
c. disturbed body image related to lifestyle changes resulting in anxiety.
d. disturbed body image related to treatment side effects.

Question 2

A client relates to the nurse I have been trying to lose weight. I am not hungry at breakfast, so I
wait until lunch to eat. I have a small lunch and then use most of my calorie allotment for dinner.

Lately, I have noticed that I do not have a lot of energy. I seem to be more anxious and my mood is
lower.. The counsel the nurse should provide is
a. You seem to be doing what is usually effective..
b. Perhaps you should divide your calories evenly between lunch and dinner..
c. Eating breakfast is important. It improves mood, energy, and feelings of calm..
d. You might want to talk with your doctor about the use of SAMe for depression..

reelove4eva · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

B
Clients who have had a myocardial infarction often believe sexual intercourse will cause another
heart attack. These clients should receive information about when sexual activity may begin,
positions that conserve energy, and so forth. Option A: The scenario does not suggest self-esteem
disturbance. Options C and D: The scenario pinpoints sexual dysfunction rather than suggests
disturbed body image.

Answer to Question 2

C
A 2004 research study indicates regularly eating breakfast improves energy, mood, memory, and
feelings of calmness. Option A is inappropriate because option C should be tried. Option B: No
evidence exists that this would be of help. Option D: No evidence exists that this suggestion would
help the client.