A nursing student is caring for a client who had a myocardial ...

[Kthamas]

A nursing student is caring for a client who had a myocardial infarction. The student is confused because the client states nothing is wrong and yet listens attentively while the student provides education on lifestyle changes and healthy menu choices.
 
  What response by the faculty member is best?
  a.
  Continue to educate the client on possible healthy changes.
  b.
  Emphasize complications that can occur with noncompliance.
  c.
  Tell the client that denial is normal and will soon go away.
  d.
  You need to make sure the client understands this illness.

Question 2

The nurse caring frequently for older adults in the hospital is aware of risk factors that place them at a higher risk for shock. For what factors would the nurse assess? (Select all that apply.)
 
  a. Altered mobility/immobility
  b. Decreased thirst response
  c. Diminished immune response
  d. Malnutrition
  e. Overhydration

[mcabuhat]

Answer to Question 1

ANS: A
Clients are often in denial after a coronary event. The client who seems to be in denial but is compliant with treatment may be using a healthy form of coping that allows time to process the event and start to use problem-focused coping. The student should not discourage this type of denial and coping, but rather continue providing education in a positive manner. Emphasizing complications may make the client defensive and more anxious. Telling the client that denial is normal is placing too much attention on the process. Forcing the client to verbalize understanding of the illness is also potentially threatening to the client.

Answer to Question 2

ANS: A, B, C, D
Immobility, decreased thirst response, diminished immune response, and malnutrition can place the older adult at higher risk of developing shock. Overhydration is not a common risk factor for shock.

[Kthamas]

Excellent

[kswal303]

TYSM