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During a home health visit, the nurse assesses an older adult client who reports decreased appetite and recent weight loss. The nurse is considering the nursing diagnosis Imbalanced Nutrition: Less Than Body Requirements. Which assessment finding would NOT support this nursing diagnosis?

A nurse is providing teaching to the spouse of a 70-year-old client who was recently diagnosed with probable Alzheimer’s disease after experiencing progressive short-term memory loss, difficulty performing calculations, and word-finding problems over the past year. Which statements made by the spouse indicate a need for further teaching about Alzheimer’s disease? Select all that apply.

A public health nurse is planning a community education program focused on nutritional strategies to reduce modifiable risk factors for cardiovascular disease. Which topics should the nurse include in the teaching? Select all that apply.

An older adult client whose spouse died 6 months ago tells the nurse stories about the deceased spouse. When care has been completed, the client thanks the nurse for listening and states, “My children will not listen to these stories.” From which type of intervention would this client most likely benefit?

The home health nurse is visiting an older client with a terminal illness for a routine medication check. The nurse determines that the client has declined since the last home visit. The nurse suggests that the client should be transported to the hospital; however, the family members state that they want the client to stay in the home. Which action by the nurse is most appropriate?

 A hospital has created a culture of safety by providing organizational support for safety initiatives and by training and encouraging healthcare employees in the area of safety. What other step is needed to promote safety for everyone in the healthcare environment?

A nurse is planning care for a hospitalized client who has limited mobility and is at high risk for developing pressure injuries. The nurse reviews interventions to include in the client’s plan of care to maintain skin integrity. Which interventions should the nurse include? Select all that apply.

An older adult client reports chronic low fluid intake and recent difficulty with bowel movements. The nurse understands that inadequate fluid intake slows intestinal transit time, allowing increased absorption of water from intestinal contents. How will this change most likely affect the client’s stool?

A nurse is caring for a patient whose spouse died two months ago. The patient reports persistent sadness, difficulty sleeping, and states, “I don’t feel like anyone understands what I’m going through.” The nurse recognizes the patient may need additional support beyond routine nursing care. Which action by the nurse is most appropriate?

The spouse of a client with end-stage chronic obstructive pulmonary disease (COPD) tells the nurse, “I wish my husband could receive hospice care, but I thought hospice was only for cancer patients. I’m also worried we couldn’t afford it, that staff would always be in our home, and that he would have to change his health care providers.” Which response by the nurse is most appropriate?