Older CH18
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Questions and Answers

An older patient is fearful, crying out that birds re flying around her room. What psychological condition is this patient most likely demonstrating

  • Illusion
  • Paranoia
  • Somatization
  • Hallucination (correct)
  • An older patient calls for the nurse because there are alligators in the bathroom. What should the nurse do first?

  • Stay calm (correct)
  • Get help from another staff member
  • Tell the patient that the alligators are real
  • Explain that the alligators are not there but realize it is a problem for the patient
  • While making a routine visit to an older patient's home, the nurse notices a pile of digoxin and potassium wrapped in a napkin. For what should the nurse assess this patient?

  • Diabetes
  • Dementia
  • Failure to thrive
  • Suicidal thoughts (correct)
  • An older patient grabs the nurse by the arm with one hand and begins to strike the nurse with the other hand. What should the nurse do?

    <p>Release the patient's hand by rotating away from the thumb</p> Signup and view all the answers

    An older patient in a nursing facility tells the nurse that she knows she didn't commit any crimes and wants to see her attorney. What should the nurse suspect this patient is experiencing?

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

    The nurse is visiting the home of an older patient who has been just been forced to retire from a position at the local factory. Which statement would help draw the patient into a discussion about the job loss?

    <p>&quot;How did you feel when the factory forced you to retire?&quot;</p> Signup and view all the answers

    An older patient with a psychological problem is reluctant to speak to the nurse. Which technique should the nurse use to diffuse the older person's tension?

    <p>Use humor</p> Signup and view all the answers

    The nurse says to an older patient, "Would you like to attend bingo or sit outside with the garden club?" What is the nurse doing?

    <p>Providing guided choices</p> Signup and view all the answers

    The nursing assistants refuse to care for a patient with Alzheimer's disease because he becomes very agitated at times during bathing. What is the best response by the licensed practical nurse?

    <p>Review the plan of care with the interdisciplinary team to develop strategies to decrease the patient's agitation during bathing</p> Signup and view all the answers

    A female older patient with early-onset Alzheimer's disease goes into male patient's rooms, crawls into bed with them, ad fondles their genital areas. What does the nurse need to consider in developing nursing interventions to deal with this behaviors?

    <p>The patient's behavior may demonstrate a need for affection and touch</p> Signup and view all the answers

    An older patient who is disoriented believes that a fire has destroyed the city. What questions should the nurse ask this patient?

    <p>&quot;What is the worst that will happed?&quot;</p> Signup and view all the answers

    An older patient who refuses food and medication is diagnosed with failure to thrive. What is this disorder associated with?

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

    A resident in a long-term care facility has the right to have the least restrictive treatment to promote health Which treatment would be questionable under these guidelines?

    <p>Applying a soft waist restraint on a resident who repeatedly falls after climbing over the side rails of the bed to go to the bathroom</p> Signup and view all the answers

    The nurse is caring for an older patient experiencing disorientation. What direction should the nurse provide when preparing the patient for bed?

    <p>&quot;Unbutton your shirt&quot;</p> Signup and view all the answers

    The family is upset because of the behaviors exhibited by an older patient experiencing delirium. What should the nurse instruct the family to do during this time? Select all that apply

    <p>Reduce stress</p> Signup and view all the answers

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