Cognitive Prep U

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Reorient the patient

The nurse is attempting to take vital signs of an older adult hospitalized following knee surgery. The patient continuously yells, "It's 1999 and you are going to hurt me." What action should the nurse do first?

Vulnerability of older adult patients

The reason that federal and state governments carefully regulate the treatment given in licensed health care facilities, particularly long-term care facilities is expressed by which statement?

Ask if the mother could come in for a hearing evaluation

A client reports to the nurse that her elderly mother has become increasingly angry and responds inappropriately to conversations within the past few months. She notes that her mother does not respond when the mother's back is turned. The best intervention of the nurse is to

Directing all health decisions to the older adult's child

Which of the following actions by the nurse demonstrates ageism?

Relaxed perineal muscle

Which of the following is a factor that contributes to urinary incontinence in older female adult?

Provide emotional and physical support

Which of the following is a nurse's role in providing home care for a patient with Alzheimer's disease?

90%

Approximately what percentage of elderly people who need assistance, receive most of their care from informal caregivers?

Ensure that the mother does not have access to car keys or drive an automobile

A client has recently brought her elderly mother home to live with her family. The client states that her mother has moderate Alzheimer's disease and asks about appropriate activities for her mother. The nurse tells the client to

-Have routine vision and hearing screenings -wear nonslip shoes or socks when walking -review medications routinely for side effects -place grab bars in shower and tub

A nurse is providing a fall prevention clinic for a group of older adults. What information should the nurse include? select all that apply

Reads in bed before going to sleep (The bed should only be for sleep or sex)

The nurse is assessing sleep habits of an elderly client who reports difficulty falling asleep and staying asleep. The nurse intervenes when the client reports he

Stay with the client and encourage him to eat

to encourage adequate nutritional intake for a client with Alzheimer's disease a nurse should?

What precipitates the outbursts?

A client reports to the nurse that her grandmother with Alzheimer's disease recently moved in with her and her two school aged children. The client states the grandmother becomes agitated and starts yelling and crying frequently. The woman asks, "What can i do?" the nurse first responds:

The drug helps to control the symptoms of the disease (controls symptoms of Alzheimer's, does not slow or cure the progression)

A patient with Alzheimers disease is prescribed donepezil (aricept). When teaching the patient and family about this drug, which of the following would the nurse include?

Ingest 5 or 6 small meals each day (orthostatic hypotension)

An elderly client exhibits blood pressure of 110/76 while prone, 100/72 sitting, and 92/64 standing. The nurse instructs the client to?

Residual lung volume

When assessing the older adult, the nurse anticipates an increase in which component of the respiratory status?


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