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Test Bank - deWits Medical Surgical Nursing: Concepts and PracticTest Bank - deWits Medical Surgical Nursing: Concepts and Practice, 4th edition (Stromberg, 2021), Chapter 1-48 | All Chapterse, 4th edition (Stromberg, 2021), Chapter 1-48 | All Chapters

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Test Bank - deWits Medical Surgical Nursing: Concepts and Practice, 4th edition (Stromberg, 2021), Chapter 1-48 | All Chapters

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Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to express the things you want, want to try, or that are off the table. Starting sentences with the word “you” may put your partner on the defensive. For example, “I don ’t want anal penetration ” lands differently than “you can ’t penetrate me anally ”. Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to express the things you want, want to try, or that are off the table. Starting sentences with the word “you” may put your partner on the defensive. For example, “I don ’t want anal penetration ” lands differently than “you can ’t penetrate me anally ”. Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to express the things you want, want to try, or that are off the table. Starting sentences with the word “you” may put your partner on the defensive. For example, “I don ’t want anal penetration ” lands differently than “you can ’t penetrate me anally ”. Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to express the things you want, want to try, or that are off the table. Starting sentences with the word “you” may put your partner on the defensive. For example, “I don ’t want anal penetration ” lands differently than “you can ’t penetrate me anally ”. Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to express the things you want, want to try, or that are off the table. Starting sentences with the word “you” may put your partner on the defensive. For example, “I don ’t want anal penetration ” lands differently than “you can ’t penetrate me anally ”. Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to MEDICAL SURGICAL NURSING When planning discharge teaching for a young adult, the nurse should include the potential health problems common in this age group. What should the nurse include in this teaching plan? a) Kidney dysfunction b) Cardiovascular diseases c) Eye problems, such as glaucoma d) Accidents, including their prevention 1. 4 Accidents are common during young adulthood because of immature judgment and impulsivity associated with this stage of development. 1 Kidney dysfunction is not a problem specific to any onestage of growth. 2 Cardiovascular disease is a common health problem in middle adulthood. 3 Glaucoma is a common health problem in the older adult. Client Need: Health Promotion and Maintenance; Cognitive Level: Application; Integrated Process: Teaching/Learning; Nursing Process: Planning/Implementation; Reference: Ch 5 , General Nursing Care of Young Adults 2. What principle of teaching specific to an older adult should the nurse consider when providing instruction to such a client recently diagnosed with diabetes mellitus? ANSWERS AND RATIONALES Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to express the things you want, want to try, or that are off the table. Starting sentences with the word “you” may put your partner on the defensive. For example, “I don ’t want anal penetration ” lands differently than “you can ’t penetrate me anally ”. Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to express the things you want, want to try, or that are off the table. Starting sentences with the word “you” may put your partner on the defensive. For example, “I don ’t want anal penetration ” lands differently than “you can ’t penetrate me anally ”. Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to express the things you want, want to try, or that are off the table. Starting sentences with the word “you” may put your partner on the defensive. For example, “I don ’t want anal penetration ” lands differently than “you can ’t penetrate me anally ”. Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to express the things you want, want to try, or that are off the table. Starting sentences with the word “you” may put your partner on the defensive. For example, “I don ’t want anal penetration ” lands differently than “you can ’t penetrate me anally ”. Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to express the things you want, want to try, or that are off the table. Starting sentences with the word “you” may put your partner on the defensive. For example, “I don ’t want anal penetration ” lands differently than “you can ’t penetrate me anally ”. Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to a) Knowledge reduces general anxiety. b) Capacity to learn decreases with age. c) Continued reinforcement is advantageous. d) Readiness of the learner precedes instruction. c) Neurologic aging causes forgetfulness and a slower response time; repetition increases learning. 1, 4 This principle is applicable to all learning regardlessof the client’s age. 2 Learning occurs, but it may take longer. Client Need: Health Promotion and Maintenance; Cognitive Level: Application; Integrated Process: Teaching/Learning; Nursing Process: Planning/Implementation; Reference: Ch 5 , General Nursing Care of Middle -Older and Old -Older Adults 3. A 76-year-old male client asks the nurse about the chances of getting osteoporosis like his wife. Which is the best response by the nurse? a) “This is only a problem for women.” b) “Exercise is a good way to prevent this problem.” c) “You are not at risk because of your small frame.” d) “You might think about having a bone density test.” d) Osteoporosis is not restricted to women; it is a potential major health problem of all older adults; estimates indicate that half of all women have at least one osteoporotic fracture, and the risk in men is Estimated between 13% and 25%; a bone mineraldensity (BMD) measurement assesses the mass Bone per unit volume or how tightly the bone is packed. 1 Osteoporosis also can occur in men. 2 Exercise maydecrease the occurrence of, but will not prevent, osteoporosis; a regimen including weight -bearing exercises is advised. 3 A small frame is a risk factor forosteoporosis. Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to express the things you want, want to try, or that are off the table. Starting sentences with the word “you” may put your partner on the defensive. For example, “I don ’t want anal penetration ” lands differently than “you can ’t penetrate me anally ”. Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to express the things you want, want to try, or that are off the table. Starting sentences with the word “you” may put your partner on the defensive. For example, “I don ’t want anal penetration ” lands differently than “you can ’t penetrate me anally ”. Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to express the things you want, want to try, or that are off the table. Starting sentences with the word “you” may put your partner on the defensive. For example, “I don ’t want anal penetration ” lands differently than “you can ’t penetrate me anally ”. Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to express the things you want, want to try, or that are off the table. Starting sentences with the word “you” may put your partner on the defensive. For example, “I don ’t want anal penetration ” lands differently than “you can ’t penetrate me anally ”. Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to express the things you want, want to try, or that are off the table. Starting sentences with the word “you” may put your partner on the defensive. For example, “I don ’t want anal penetration ” lands differently than “you can ’t penetrate me anally ”. Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to Client Need: Health Promotion and Maintenance; Cognitive Level: Application; Integrated Process: Teaching/Learning; Nursing Process: Planning/Implementation; Reference: Ch 5 , General Nursing Care of Middle -Older and Old -Older Adults 4. What is the priority when working with a group of middle - aged adult clients? a) Cessation of smoking b) Prevention of infection c) Abstinence from alcohol d) Decreasing high-density lipoproteins levels a) Smoking is a major risk factor for cardiovascular disease and hypertension, major health problems of middle -age adults. 2 Middle -age adults are not at greater risk for infection. 3 Alcohol intake should be limited, but total abstinenceis not required for prevention of health problems. 4 HDL levels should be increased to help prevent cardiovascular disease. Client Need: Health Promotion and Maintenance; Cognitive Level: Application; Nursing Process: Planning/Implementation; Reference: Ch 5 , The Middle -Older and Old -Older Adult, Data Base 5. Which factor does the nurse consider most likely contributes to the increased incidence of hip fractures in older adults? a) Carelessness b) Fragility of bone c) Sedentary existence d) Rheumatoid diseases Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to express the things you want, want to try, or that are off the table. Starting sentences with the word “you” may put your partner on the defensive. For example, “I don ’t want anal penetration ” lands differently than “you can ’t penetrate me anally ”. Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to express the things you want, want to try, or that are off the table. Starting sentences with the word “you” may put your partner on the defensive. For example, “I don ’t want anal penetration ” lands differently than “you can ’t penetrate me anally ”. Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to express the things you want, want to try, or that are off the table. Starting sentences with the word “you” may put your partner on the defensive. For example, “I don ’t want anal penetration ” lands differently than “you can ’t penetrate me anally ”. Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to express the things you want, want to try, or that are off the table. Starting sentences with the word “you” may put your partner on the defensive. For example, “I don ’t want anal penetration ” lands differently than “you can ’t penetrate me anally ”. Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to express the things you want, want to try, or that are off the table. Starting sentences with the word “you” may put your partner on the defensive. For example, “I don ’t want anal penetration ” lands differently than “you can ’t penetrate me anally ”. Dismantle Shame Many people deal with sexual shame every day. It may stem from messages received from society, skewed messages from family, or a host of other places. Regardless of where it comes from, shame effectively shuts down sexual desire.3 Take time to evaluate your sexual values as they exist now to provide a new anchor from which to evaluate your interests or behaviors. 3. Improve Sexual Communication Good sexual communication is important in any relationship. Even if you ’re having casual sex without romantic involvement, talking about sex makes for better sex.2, 3, 4, 5 Use “I” statements to b) Bones become more fragile because of loss of bone density associated with the aging process; this often is associated with lower circulating levels of estrogens or testosterone. 1 Carelessness is a characteristic applicable to certain individuals rather than to people within a developmental level. 3 Although prolonged lack of weight -bearing activity is associated with bone demineralization, hip fractures also occur in active older adults. 4 Rheumatoiddiseases can affect the skeletal system but do not increasethe incidence of hip fractures. Client Need: Health Promotion and Maintenance; Cognitive Level: Application; Nursing Process: Assessment/Analysis; Reference: Ch 5 , The Middle -Older and Old -Older Adults, Data Base 6. Which age-related change should the nurse consider when ▶ formulating a plan of care for an older adult? Select all that apply. a) Difficulty in swallowing b) Increased sensitivity to heat c) Increased sensitivity to glare d) Diminished sensation of pain e) Heightened response to stimuli 1. Answer: c, d. 1 There should be no interference with swallowing in older individuals. 2 Older individuals tend to feel the cold and rarely complain of the heat. 3 Changes in theciliary muscles, decrease in pupil size, and a more rigid pupil sphincter contribute to an increased sensitivity to glare. 4 This may make an older individual unaware ofa serious illness, thermal extremes, or excessive pressure. 5 There is a decreased response to stimuli in the olderindividual.

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Exam (elaborations)

Test Bank - deWits Medical Surgical Nursing: Concepts and PracticTest Bank - deWits Medical Surgical Nursing: Concepts and Practice, 4th edition (Stromberg, 2021), Chapter 1-48 | All Chapterse, 4th edition (Stromberg, 2021), Chapter 1-48 | All Chapters

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