The nurse is teaching a 60-year-old woman with type 2 diabetes mellitus how to prevent diabetic nephropathy. Which statement made by the patient indicates that teaching has been successful?

"I will avoid hypoglycemia by keeping my blood sugar above 180 mg/dL."

"Smokeless tobacco products decrease the risk of kidney damage.

"should have yearly dilated eye examinations by an ophthalmologist

" can help control my blood pressure by avoiding foods high in salt."

Answer and Explanation

The Correct Answer is D

A. Keeping blood sugar above 180 mg/dL increases the risk of long-term complications, including diabetic nephropathy. Good glycemic control is essential to prevent kidney damage.
B. Smokeless tobacco still contains harmful substances and does not reduce the risk of kidney damage; in fact, smoking in any form increases the risk.
C. While yearly eye exams are important for detecting diabetic retinopathy, they are not specific to preventing nephropathy.
D. Controlling blood pressure is crucial in preventing diabetic nephropathy, and reducing sodium intake is an effective strategy to manage blood pressure.

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Correct Answer is D

Explanation

A. Finding comfort in connecting with family is a healthy coping mechanism and a normal part of the grieving process, not an indicator of clinical depression.
B. Loss of appetite can occur with both grief and depression, so it is not specific enough to indicate clinical depression.
C. Intense sadness is a normal reaction to grief, especially shortly after a loss. It is not necessarily pathological.
D. Loss of interest in pleasurable activities (anhedonia) is a hallmark symptom of clinical depression. When sadness persists and interferes with daily functioning and enjoyment of life, it may signal the transition from normal grief to a depressive disorder.

A. Avoidant personality disorder B. Schizotypal personality disorder C. Paranoid personality disorder D. Antisocial personality disorder

Correct Answer is B

Explanation

A. Avoidant personality disorder is characterized by social inhibition, feelings of inadequacy, and hypersensitivity to criticism, not delusions or odd beliefs like the ability to read minds.
B. Schizotypal personality disorder is characterized by eccentric behavior, odd beliefs, and magical thinking, which can include delusions like believing one can read minds or influence events with their thoughts.
C. Paranoid personality disorder involves pervasive distrust and suspicion of others, but it does not include delusions of mind-reading.
D. Antisocial personality disorder is marked by disregard for others' rights and a lack of empathy, but it is not associated with delusions or magical thinking like mind-reading.

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The nurse is teaching a 60-year-old woman with type 2 diabetes mellitus how to prevent diabetic nephropathy. Which statement made by the patient indicates that teaching has been successful?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is experiencing grief. The nurse should identify which of the following findings as an indication that the client has developed clinical depression?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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