Older CH17
15 Questions
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Older CH17

Created by
@StableCreativity

Questions and Answers

Family members sit with an older patient and listen while he tells about a period of time when he was in the Army and lived with extended family in another state. What should the nurse identify as characteristic of this patient's memories?

  • The are fiction
  • They are based on facts
  • They are evidence of cognitive decline
  • They are based on the patient's belief system (correct)
  • The nurse is concerned that an older patient is becoming disoriented. What information caused the nurse to have this concern

  • Patient cannot find reading glasses
  • Patient identifies the year as being 1945 (correct)
  • Patient is expecting family to visit later in the day
  • Patient thinks the dining hall is where the recreation room is loacted
  • The nurse is preparing to conduct a short test of mental functioning with an older person. Which aspect of this test may be omitted

  • Memory
  • Thinking (correct)
  • Perception
  • Orientation
  • What administering the Mini-Cog mental status examination, the older patient refuses to draw the face of a clock. How should the nurse score this finding?

    <p>Abnormal response</p> Signup and view all the answers

    During an annual assessment an older patient has decrease in memory recall and orientation. What might cause this type of change in mental status

    <p>Dementia</p> Signup and view all the answers

    An older patient's mental function is lower than the score of a mental status examination indicates. What should this information suggest to the nurse

    <p>The patient has a mental illness</p> Signup and view all the answers

    An older person is demonstrating a significant change in personality. What should the nurse suspect is occurring with this patient?

    <p>Pick's disease</p> Signup and view all the answers

    An older patient is demonstrating signs of dementia. What should the nurse plan for this patient?

    <p>Reassess mental status frequently</p> Signup and view all the answers

    An older patient who is recovering from a spinal cord injury refuses to participate in any facility activities and refuses to leave the room when family visits. The occupational therapist is having difficulty getting the patient to participate in feeding and other upper extremity activities. What might be the cause of this type of behavior

    <p>Depression</p> Signup and view all the answers

    An older patient who lives alone has dried feces on his legs and under his fingernails. Additional observations include only hair, unkempt beard, and a weight loss of 15 pounds over the last 2 months. For what is this patient at risk?

    <p>Nursing home placement</p> Signup and view all the answers

    The nurse notes that an older community member who has been sad since the death of her spouse has experienced pneumonia and exacerbation of heart failure over the last 3 months. What should the nurse suspect is occurring with this patient?

    <p>Depression is causing the illnesses</p> Signup and view all the answers

    The nurse overhears nursing assistants talk about how an older newly admitted patient is mean and argues with everyone who comes into the room. What should the nurse suspect is occurring with this patient?

    <p>Depression</p> Signup and view all the answers

    The nurse suspects that an older patient is depressed. What should the nurse expect to be most affected when completing a mental status examination with this patient?

    <p>Memory</p> Signup and view all the answers

    An older patient being treated for depression recalls certain life events differently than what the family states occurred. What should the nurse identify as being the reason for the discrepancy between the patient's memory and the family's statements?

    <p>The patient's memories are biased</p> Signup and view all the answers

    The nurse is preparing to complete a psychological assessment with an older patient. With an older patient. Which should the nurse recall as the purpose of this assessment?

    <p>Care planning</p> Signup and view all the answers

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