A nurse is planning an educational program at a local senior center for older adult clients who have heart failure. Which of the following Instructions should the nurse include in the teaching?

Weigh yourself every other day.

Walk three or more times a week.

Drink 2.5 to 3 L of water daily.

Include whole milk with each meal.

Answer and Explanation

The Correct Answer is B

A. Weighing every other day is insufficient for heart failure management. Daily weight monitoring is essential to detect fluid retention early, as even small increases can indicate worsening heart failure and the need for medication adjustment.

B. Walking three or more times a week helps improve cardiovascular health and endurance without overexerting the heart. Regular, moderate exercise is recommended for heart failure clients to support functional status and prevent deconditioning.

C. Drinking 2.5 to 3 liters of water daily can lead to fluid overload in heart failure patients. These clients often require fluid restrictions to prevent worsening symptoms such as edema and shortness of breath due to impaired cardiac function.

D. Including whole milk with each meal increases saturated fat intake, which can worsen heart health. Low-fat dairy options are better suited for individuals with heart failure to manage cholesterol and cardiovascular risk.

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Correct Answer is B

Explanation

A. Engage neighborhood families to monitor the playground for further trash buildup: While community involvement is valuable, monitoring alone does not address the immediate sanitation concern. Engagement is more effective after assessing and planning with the community.

B. Meet with community members to discuss methods of playground maintenance: The first step is to involve the community in identifying concerns and generating solutions. This approach promotes shared ownership, sustainability, and relevance of any interventions.

C. Partner city officials with community members to improve the playground's condition: Collaboration with city officials is important, but it should follow initial discussions with the community to ensure their input and priorities are represented in any formal partnerships.

D. Work with local businesses to sponsor more trash receptacles in the playground: Providing trash receptacles is a practical solution, but it does not address the root causes or promote sustained behavior change without community buy-in and shared planning.

A. Light therapy B. Cognitive behavioral therapy C. Electroconvulsive therapy D. Occupational therapy

Correct Answer is B

Explanation

A. Light therapy: Light therapy is primarily used to treat seasonal affective disorder (SAD) and certain types of depression related to changes in daylight. It is not typically indicated for complicated grief, which involves prolonged and intense mourning.

B. Cognitive behavioral therapy: Cognitive behavioral therapy (CBT) is effective for complicated grief as it helps clients identify and modify unhelpful thoughts and behaviors related to their loss. CBT supports processing grief, managing symptoms, and developing coping strategies to improve emotional functioning.

C. Electroconvulsive therapy: Electroconvulsive therapy (ECT) is generally reserved for severe, treatment-resistant depression or certain psychiatric conditions. It is not a first-line treatment for complicated grief and is inappropriate unless the client has severe co-occurring depression not responsive to other treatments.

D. Occupational therapy: Occupational therapy focuses on helping clients regain or improve daily functioning and participation in meaningful activities. While it may support general well-being, it is not a primary intervention for complicated grief, which requires more targeted psychological therapies.

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A nurse is planning an educational program at a local senior center for older adult clients who have heart failure. Which of the following Instructions should the nurse include in the teaching?

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