The nurse is admitting a client who has osteoarthritis. Which information obtained by the nurse indicates a need for client teaching? The client:

attends a weekly yoga class to improve flexibility and balance.

gets information about herbal remedies from a health food store employee.

takes glucosamine daily to prevent knee and hip pain.

states that prayer helps to improve the knee pain and function.

Answer and Explanation

The Correct Answer is B

B. It's essential for the client to receive accurate information about their safety, efficacy, and potential interactions with other medications. Health food store employees may not always have the necessary expertise to provide comprehensive information on these aspects.
A. Yoga can indeed improve flexibility and balance, which can be beneficial for individuals with osteoarthritis. Therefore, this choice does not indicate a need for client teaching.
C. Glucosamine helps with pain control and bone remodeling to improve overall functionality.
D. Prayer and spirituality can provide emotional support and improve overall well-being, they may not directly address the underlying physical symptoms of osteoarthritis. This may indicate a need for client teaching, as it may reflect the client's personal beliefs and coping strategies.

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Correct Answer is C

Explanation

C. Splitting is characterized by viewing people and situations in extremes, either all good or all bad, without recognizing the complexity that usually exists in most circumstances. This black-and-white thinking can lead to rapidly shifting perceptions of others, as seen in the client's sudden change from idealizing the nurse to devaluing them.
A. Denial is a defense mechanism where the individual refuses to accept reality or acknowledge an aspect of reality that is apparent to others. In this scenario, the client is not denying any aspect of reality.
B. Separation-individuation is a developmental process where individuals establish autonomy and a sense of self separate from others, particularly from primary caregivers. This process is more relevant in infancy and early childhood.
D. Reaction formation is a defense mechanism where an individual behaves in a manner opposite to their true feelings or impulses. In this scenario, the client's expression of hatred towards the nurse does not appear to be a case of reaction formation, as there is no indication that the client actually harbors feelings of care or admiration towards the nurse.

A. call for emergency assistance from other staff. B. take him to a room with toys to act out feelings. C. tell the boy's mother to take him home immediately. D. direct him to stop, then confront the other child.

Correct Answer is B

Explanation

B. Providing a safe and supportive environment for the child to express and manage their emotions is important. Taking the child to a room with toys allows them to engage in play and express their feelings in a constructive manner.
A. Emergency assistance from other staff would typically be reserved for situations posing immediate danger to the child or others, which may not be the case here.
C. Sending the child home immediately could be seen as a punitive measure and may not contribute to the child's understanding of the behavior's impact.
D. Directing the child to stop the behavior and then confronting the other child may escalate the situation and potentially lead to further conflict or aggression.

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The nurse is admitting a client who has osteoarthritis. Which information obtained by the nurse indicates a need for client teaching? The client:

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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