An older patient is overwhelmed at the number of lifestyle ...

[dalyningkenk]

An older patient is overwhelmed at the number of lifestyle changes needed to manage newly diagnosed cardiovascular disease. What action by the nurse will reduce this barrier to teaching?
 
  a. Tell the patient even tiny changes over time make a big difference.
  b. Tell the patient that smoking is the biggest risk factor and needs to stop.
  c. Help the patient choose a change and in-corporate it into daily life.
  d. Educate the patient on the consequences of not making changes.

Question 2

When working with a patient suspected of substance abuse, the nurse is particularly interested in determining the cause of a patient's
 
  a. acute abdominal pain.
  b. recurring insomnia.
  c. extensive history of falls.
  d. chlordiazepoxide (Librium) prescription.

[vish98]

Answer to Question 1

C
Although it is true that small changes over time have a great impact, the nurse needs to do more by helping the patient choose a small change to implement. The nurse should help the patient work on the risk factor he or she is most willing to change. Education is important, but it will not enable the patient to make changes.

Answer to Question 2

C
Frequently, the symptoms of substance abuse are subtle or atypical, or they mimic symptoms of other age-related illnesses and remain undiagnosed. Patients' presenting symptoms may be erratic changes in affect, mood, or behavior; malnutrition; bladder and bowel incontinence; gait disturbances; and recurring falls, burns, and head trauma. Acute abdominal pain, insomnia, and prescriptions for Librium may or may not be related to substance abuse, but falling is.

[dalyningkenk]

Thank you

[vish98]

No problemo