A 46-year-old male client who had a myocardial infarction (MI) 24-hours ago comes to the nurse's station fully dressed and wanting to go home. He tells the nurse that he is feeling much better at this time. Based on this behavior, which client problem should the nurse include in the plan of care?

Ineffective coping related to denial

Decisional conflict due to stress

Deficient knowledge of lifestyle changes

Anxiety related to treatment plan.

Answer and Explanation

The Correct Answer is A

A. The client's desire to go home so soon after a significant medical event like an MI suggests a possible denial of the severity of his condition and an unwillingness to acknowledge the
need for further medical care and recovery time.

B. While decisional conflict due to stress could be a concern, the client's behavior does not directly indicate stress about making decisions, but rather a disregard for the gravity of his recent health event.
C. Deficient knowledge of lifestyle changes is likely an issue for someone who has just experienced an MI, but the immediate behavior of wanting to leave the hospital does not directly relate to a lack of knowledge about necessary lifestyle changes.
D. Anxiety related to the treatment plan could be present, but the client's behavior of wanting to leave the hospital suggests a coping mechanism of denial rather than anxiety about the treatment itself.

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Correct Answer is A,C,D,B

Explanation

A. Documenting the date and time of the behavior provides an objective record of the incident and establishes a basis for discussion. C. Discussing the issue privately with the UAP allows the manager to address the behavior, understand the underlying cause, and provide guidance in a confidential setting. D. Planning scheduled break times can help prevent recurrence by ensuring the UAP knows when it is appropriate to leave the unit. B. Evaluating the UAP for signs of improvement allows the manager to monitor progress and determine whether further intervention or support is needed.

A. Alcohol consumption will not produce vascular changes. B. Sodium intake can be regulated by limiting canned foods in the diet. C. Salt substitutes can help with maintaining a healthy diet. D. Weight management is promoted by taking daily walks for thirty minutes. E. Blood pressure readings should be taken at noontime. F. Uncontrolled hypertension can lead to renal damage.

Correct Answer is ["B","C","D","F"]

Explanation

A. Alcohol consumption can indeed produce vascular changes and contribute to hypertension, making this statement incorrect.
B. Regulating sodium intake by limiting canned foods in the diet is a valid strategy to prevent hypertension.

C. Salt substitutes can be a part of maintaining a healthy diet and may help in reducing sodium intake, which is beneficial for blood pressure control.
D. Weight management through daily walks for thirty minutes is an effective method to prevent hypertension.
E. Blood pressure readings should be taken at various times of the day to assess for fluctuations; noontime is not specifically recommended.
F. Uncontrolled hypertension can indeed lead to renal damage, among other complications, making this a key point for client education.

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A 46-year-old male client who had a myocardial infarction (MI) 24-hours ago comes to the nurse's station fully dressed and wanting to go home. He tells the nurse that he is feeling much better at this time. Based on this behavior, which client problem should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An unlicensed assistive personnel (UAP) leaves the unit without notifying the staff. In which order should the unit manager implement these interventions to address the UAP's behavior? (Place the actions in order from first on top to last on bottom.)

Correct Answer is A,C,D,B

Explanation

The nurse is educating a client about essential hypertension prevention. Which information should the nurse provide? (Select all that apply.)

Correct Answer is ["B","C","D","F"]

Explanation

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