A client, age 79 years, tells the home visiting nurse, "I've been feeling down for the last few days. I don't have much to live for. My family and friends are all dead. My money's running out, and my health is failing." The nurse should assess this as:

Normal pessimism of the elderly.

A cry for sympathy.

Normal grieving.

Evidence of high suicide potential.

Answer and Explanation

The Correct Answer is D

A. Normal pessimism of the elderly: This statement downplays the seriousness of the client’s feelings. Although some elderly individuals may experience sadness, these statements suggest a deeper issue that should not be considered normal.

B. A cry for sympathy: This response dismisses the client's feelings as attention-seeking, which could lead to missing a serious issue, such as depression or suicidal ideation.

C. Normal grieving: While grief can lead to feelings of sadness, the statements indicate a broader sense of hopelessness and worthlessness, which goes beyond normal grieving.

D. Evidence of high suicide potential: The client’s statements suggest feelings of hopelessness and despair, which are red flags for suicide risk, especially in elderly clients. This requires immediate assessment and intervention.

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Correct Answer is C

Explanation

A. Random, rapid growth of the tumor: Benign tumors generally grow slowly and are less likely to invade nearby tissues. Rapid growth is more characteristic of malignant tumors.

B. Cells colonizing to distant body parts: Benign tumors do not metastasize to distant parts of the body; this is a feature of malignant tumors.

C. Tumor pressure against normal tissues: Even though benign tumors do not invade other tissues, they can still cause problems by pressing against surrounding normal tissues, potentially leading to significant functional issues depending on their location.

D. Emission of abnormal proteins: Abnormal protein emission is more relevant to malignancies that may cause paraneoplastic syndromes rather than benign tumors.

A. "Try to buy and consume as many organic and natural foods as you can." B. "Try to replace the complex carbohydrates in your diet with protein-rich foods." C. "Try to reduce the overall amount of fat that is in your diet." D. "If you eat four of five small meals each day, you'll find that you're able to reduce your calorie intake."

Correct Answer is C

Explanation

A. "Try to buy and consume as many organic and natural foods as you can." While organic and natural foods are generally healthy, this advice does not directly align with the DASH diet, which focuses more on nutrient balance and reduction of sodium, fats, and sugars.

B. "Try to replace the complex carbohydrates in your diet with protein-rich foods." The DASH diet emphasizes balanced intake of whole grains (complex carbohydrates), fruits, vegetables, and lean proteins, rather than replacing complex carbohydrates.

C. "Try to reduce the overall amount of fat that is in your diet." This recommendation is consistent with the DASH diet, which advises reducing saturated fats and total fat to help manage blood pressure.

D. "If you eat four of five small meals each day, you'll find that you're able to reduce your calorie intake." Eating smaller, more frequent meals may help with calorie control, but this advice is more related to weight management than directly aligning with the DASH diet's focus on nutrient-rich, heart-healthy foods.

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A client, age 79 years, tells the home visiting nurse, "I've been feeling down for the last few days. I don't have much to live for. My family and friends are all dead. My money's running out, and my health is failing." The nurse should assess this as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client is diagnosed with a benign brain tumor. Which of the following features of a benign tumor is of most concern to the nurse?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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