As part of a follow-up home visit to an 80-year-old client who has had surgery, the nurse discusses the client's risk for delirium with his family members. Which of the following would the nurse NOT include as placing the client at increased risk?

Correct Answer: B

Rationale: The correct answer is B: Hypertension. Hypertension is not a risk factor for delirium in the context of a follow-up home visit after surgery. Delirium is commonly associated with factors such as urinary tract infections (A), acute stress (C), and bone fractures (D) in elderly clients. Hypertension, although a serious condition, does not directly contribute to the development of delirium in this scenario. Delirium is often multifactorial, with underlying medical conditions, infections, and stress being key contributors. In this case, the nurse would focus on discussing the client's risk factors such as urinary tract infections, acute stress, and bone fractures with the family members to prevent delirium.

Correct Answer: D

Rationale: Rationale: Dialectical behavior therapy focuses on teaching clients skills to manage emotions, behavior, and thoughts effectively. Self-management skills involve regulating behavior in response to events, which aligns with the client's goal of controlling and changing behaviors. Emotion regulation skills focus on managing emotions, mindfulness skills involve being present in the moment, and distress tolerance skills focus on tolerating emotional distress. Therefore, self-management skills are the most appropriate choice in this scenario.

Correct Answer: C

Rationale: The correct answer is C because parents' limited tolerance for externalizing behavior can lead to fewer cases of conduct disorders being diagnosed. This is because parents in these cultures may intervene and address behavioral issues before they escalate to the level of a diagnosed disorder. Choices A and B do not necessarily lead to lower rates of diagnosed conduct disorders, as strict parenting with corporal punishment can actually exacerbate behavior problems, and cultural expression of anger does not directly relate to conduct disorders. Choice D is incorrect because widespread acceptance of conduct disorders would likely lead to higher rates of diagnosis, not lower.

Correct Answer: A

Rationale: The correct answer is A because nurses in this situation may struggle with conflicting roles of being caregivers and victims, leading to feelings of guilt, self-blame, or inadequacy. This conflict can affect their ability to provide care effectively. Choice B is incorrect as nurses may not always choose to prosecute patients due to various reasons such as fear of retaliation or wanting to maintain a therapeutic relationship. Choice C is incorrect as not all nurses may feel comfortable or able to actively express their feelings about the assaults. Choice D is incorrect as nurses who have been assaulted by patients often experience guilt, shame, or self-blame due to societal stigma or internalized beliefs.

Correct Answer: C

Rationale: The correct answer is C: lack of consistent funding. Workforce reentry programs often struggle with securing consistent funding to support their operations and services. This challenge can hinder the program's ability to sustain long-term impact and effectively assist individuals in reentering the workforce. Without stable funding, programs may face difficulties in maintaining staff, resources, and program continuity. This can ultimately impact the program's success in helping clients achieve successful workforce reintegration. Choices A, B, and D are incorrect because: A: an excess of employers who are eager to work with clients - While having a network of supportive employers is beneficial, the main challenge lies in securing funding to sustain the program's operations. B: a lack of evidence-based practice (EBP) demonstrating their effectiveness - While evidence-based practice is important, it is not the main challenge faced by workforce reentry programs. Funding is a more critical issue for program sustainability. D: too many resources that can cause confusion for clients - Having resources is generally