The nurse practitioner is educating a 59-year-old man newly diagnosed with heart failure about his diagnosis. Because this patient is comfortable at rest or with mild activity, under which class of heart failure would this patient be categorized according to the New York Heart Association Functional Classification of Heart Failure?
Class 1
Class 2
Class 3
Class 4
The Correct Answer is A
Choice A reason: Class I heart failure is defined as patients who experience no limitation of physical activity. Ordinary physical activity does not cause undue fatigue, palpitation, or dyspnea, which fits the description of this patient.
Choice B reason: Class II involves slight limitation of physical activity; the patient is comfortable at rest but ordinary activity results in symptoms. This patient is asymptomatic with ordinary activity, so Class II is less appropriate.
Choice C reason: Class III involves marked limitation of physical activity; patients are comfortable at rest but less than ordinary activity causes symptoms. The patient is not experiencing this degree of limitation.
Choice D reason: Class IV involves inability to carry on any physical activity without discomfort; symptoms may be present at rest. The patient does not have this level of functional limitation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Low self-esteem is common in social anxiety disorder as individuals perceive themselves negatively in social situations.
Choice B reason: Sensitivity to rejection is a hallmark, as patients fear social disapproval or negative evaluation.
Choice C reason: Hypersensitivity to criticism drives avoidance of social interactions and contributes to distress.
Choice D reason: Individuals with social anxiety disorder typically do not experience significant reduction in anxiety merely by being accompanied by someone trusted; the disorder is situation-focused, and anxiety remains despite support.
Correct Answer is B
Explanation
Choice A reason: Health promotion involves general measures to encourage healthy behavior, but primary prevention specifically aims to prevent the development of stress-related disorders before they occur.
Choice B reason: Primary prevention targets individuals before symptoms develop to reduce risk factors, such as teaching coping skills to prevent chronic stress or mental health conditions. This aligns with the scenario.
Choice C reason: Secondary prevention involves early detection and intervention after symptoms appear. These participants are not yet diagnosed with stress-related disorders, so this does not apply.
Choice D reason: Tertiary prevention focuses on reducing complications in those already diagnosed, which is not the case here.
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