A nurse is collecting data from a client who has depression to identify his ability to perform activities of daily living (ADLs) prior to discharge. Which of the following data should the nurse collect? (Select all that apply.)
Ability to dress himself
Ability to identify how often he should schedule his car for an oil change
Ability to bathe himself
Ability to perform oral hygiene
Ability to balance his bank account
Correct Answer : A,C,D
Choice A reason: The ability to dress oneself is a basic ADL and is important for independence after discharge.
Choice B reason: Scheduling car maintenance is not considered a basic ADL; it is an instrumental activity of daily living (IADL), which is not typically assessed for depression-related ADLs.
Choice C reason: The ability to bathe oneself is another basic ADL that is crucial for self-care and should be assessed before discharge.
Choice D reason: Performing oral hygiene is a fundamental ADL and should be included in the assessment.
Choice E reason: Balancing a bank account is an IADL and, similar to choice B, is not typically part of the basic ADL assessment for a client with depression.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Fresh vegetables are typically low in sodium and are a healthy choice for someone on a low-sodium diet.
Choice B reason: Canned soups often have high sodium content and are not recommended for a low-sodium diet.
Choice C reason: Hot dogs are processed meats that are usually high in sodium and should be avoided on a low-sodium diet.
Choice D reason: Milk and cheese can vary in sodium content; some cheeses are high in sodium and should be consumed in moderation or avoided. Fresh vegetables are the safest recommendation as they are naturally low in sodium and fit within a low-sodium diet.
Correct Answer is C
Explanation
Choice A reason: Gluten is not typically restricted for patients taking MAOIs unless they have a separate condition that requires this diet.
Choice B reason: Extra salt does not interact with MAOIs, so it is not necessary to avoid it unless the patient has other health concerns that require a low-sodium diet.
Choice C reason: Processed lunch meats are high in tyramine, which can cause dangerous interactions with MAOIs, leading to hypertensive crises.
Choice D reason: While caffeine may need to be limited, it is not as critical as avoiding high-tyramine foods like processed lunch meats when taking MAOIs.
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