A community nurse has identified a need for educational ...

[Mr.Thesaxman]

A community nurse has identified a need for educational programming among the residents of an assistive living facility dealing with osteoarthritis. The best example of such programming is:
 
  1. Planning the best exercise program for you.
  2. Recognizing how arthritis has affected your life.
  3. Proper self administration of antiinflammatory medication
  4. Be an informed consumerdon't fall for false arthritis cures.

Question 2

The nurse working in a free clinic is caring for a homeless client diagnosed with paranoid schizo-phrenia who has reported that, I hurt my foot running away from them. It hurts so bad I can hardly walk now.
 
  On assessment the nurse notices bruising on the client's back, arms, and thighs, a red rash on both neck and face, and poor personal hygiene, in addition to edema of the left ankle. The nurse should first realize that this client is at risk for:
  1. Physical abuse and assault
  2. Drug addiction relating to pain
  3. Communicable immune disorders
  4. Hospitalization due to mental disorder

[trampas]

Answer to Question 1

ANS: 4
Thorough assessment and appropriate community based interventions provide an opportunity to improve the lifestyle and quality of life of older adults in general. The focus is on broad-based needs not specific client needs. Answer 4 offers information applicable to the entire resident population diagnoses with osteoarthritis.

Answer to Question 2

ANS: 1
When a client has a severe mental illness such as schizophrenia there are multiple health and so-cioeconomic problems you will need to explore. Many clients with pervasive mental illnesses are homeless or live in poverty. In addition, mentally ill clients are at greater risk of abuse and as-sault. This client's reported foot injury and observable bruising support the possibility of abuse/assault. While drug abuse may be a consideration, it does not represent the best option of-fered for this item because there is not indication that the client is drug seeking. Contacting communicable diseases is a risk factor for such a client but it does not represent the best option offered for this item because there are several factors that may indicate abuse/assault. Hospitali-zation may be required but it does not represent the best option offered for this item because there is no indication that the client is experiencing a psychiatric crisis.

[Mr.Thesaxman]

TY

[trampas]

You're welcome