Leona is at her friend nicole's house. nicole says her parents won't notice if a couple of beers go missing. leona shakes her head and mumbles, "no, i don't want to break their trust." when nicole insists that they won't care, leona shakes her head again.

which refusal skill is leona forgetting to use in this situation?

a. repeating her message as often as necessary
b. using a firm tone of voice
c. using the word "no"
d. using strong nonverbal language

Which of the following is an argument against buying local fruits and vegetables?

Aclient, prescribed dextroamphetamine for attention deficit hyperactivity disorder (adhd), has developed a common adverse effect of the medication since beginning therapy. which initial intervention should the client be encouraged to implement? a. increase fiber intake. b. take an over-the-counter (otc) laxative daily. c. take metronidazole. d. take diphenoxylate hydrochloride.

An 80-year-old woman comes to the urgent care clinic with dyspnoea on exertion. on physical examination, her blood pressure is 100/70, and her pulse is 75. she has no pulsus paradoxus. her jugular veins are distended, and she has distant heart sounds. in addition, she has extra third and fourth heart sounds. her liver is enlarged, and she has pedal oedema. she has occasional premature ventricular contractions on her electrocardiogram. a chest x-ray reveals clear lung fields with a dilated cardiac silhouette. her echocardiogram reveals ventricular walls with a "speckled pattern". which of the following is the most likely diagnosis? - alcoholic cardiomyopathy- amyloidosis- haemochromatosis- tuberculosis- viral myocarditis