quiz 2

An older patient is prescribed psyllium seed to prevent constipation. What should the nurse instruct the patient about this medication?

this medication can swell esophagus

The nurse is preparing to admit an elderly patient who is deaf. What should the nurse do to ensure effective communication with the patient?

use the hospital approved interpreter program

The son of an older patient is concerned about the patient's ongoing forgetfulness and asks the nurse to explain what could be wrong with the patient. How should the nurse respond to the son?

"Memory difficulties can be due to underlying issues including anxiety, chronic pain, or depression." Selected Answer

Which observation should indicate to the nurse to assess an older patient for depression?

Flat affect

An older patient is prescribed diet supplementation to combat unintentional weight loss. How should the nurse provide these to the patient?

provide with next meal

An older patient without any major health problems is experiencing decreased strength and endurance while performing some activities. What should the nurse explain as the reason for the change in strength and endurance?

decrease in lean muscle mass

The nurse has completed an educational program for residents of a retirement community regarding unsafe medication practices. Which statement made by a resident indicates the need for further education?

"Medication can be obtained from an Internet pharmacy, as long as it says the medication was made in the United States or Canada."

An older patient has recently been put on high fall precaution after a new medication was started. The patient's daughter questions why this precaution was put in place. How should the nurse respond to the daughter?

"The patient was recently started on a medication for high blood pressure that could impact balance and cause a fall."

Which statement that a nurse makes about ethnocultural heritage would need to be corrected?

"A person can only value characteristics that are heritage consistent

While organizing a walking program at an assisted living facility, one resident asks why older people should exercise. Which response would be the best for the nurse to make?

"Exercise can help reduce the negative effects of stress, which can impact your physical health."

Which assessment data indicates to the nurse that an older patient is experiencing undernutrition?

body mass index(bmi) of 20

The nurse instructed an older patient on the importance of maintaining adequate hydration. Which statement by the patient indicates that additional teaching is needed?

"I'll drink water and unsweetened beverages whenever I feel thirsty."

The charge nurse is made aware that a 96-year-old patient does not want to be cared for by African Americans. What does this patient's attitude exemplify?

Complexity of the Cultural Care triad

The nurse overhears a student nurse discussing the three areas of focus regarding Cultural Care nursing. Which statement by the student indicates a lack of understanding of Cultural Care nursing?

A nurse must understand the basic traditions of diverse cultural groups and be able to explain to patients how these traditions must be changed to fit into the plan of care."

An older patient experiencing abdominal pain, nausea, and vomiting brown liquid has taken an NSAID type of medication for general muscle aches. What effect might this drug have related to the patient's manifestations?

gastric irritation and bleeding

An older patient does not take a prescribed diuretic as planned because of the inconvenience of having to urinate frequently, which interrupts scheduled activities. What action should the nurse take with this patient?

Discuss the daily activity schedule and adjust the drug administration time accordingly.

The family of a 95-year-old patient of the Chinese culture is planning on caring for the patient in the home. How can the nurse best meet the patient's needs?

Exploring the resources the family has to meet the patient's needs in its home Selected Answer

An older patient is prescribed a monoamine oxidase inhibitor (MAOI) medication. Which meal choice indicates that the patient needs further education regarding this medication?

Fried chicken, creamed corn, and French fries

an older patient has an unintentional weight loss of 20 pounds in the last 3 months. What should the nurse teach the patient's family to prevent further loss of weight?

Provide liquid nutritional supplements with meals

What should the nurse instruct a caregiver to do to assist a cognitively impaired older patient to self-feed?

Serve each food separately with the proper utensil and cue the patient to use the utensil to eat that particular food.

During an interview, the nurse notes that an older patient is having mild difficulty with some words and forgets the names of people. The patient is alert, oriented to time, person, and place, and makes appropriate responses. What does the nurse determine this patient's cognitive changes to mean?

normal signs of aging

An older patient tells the nurse that alcohol is used occasionally to combat stress. The patient is a recent widow, retired, and admits to feeling worthless at times. The nurse realizes this patient is at risk for which health problem?

Suicide

The nurse learns that a patient of the Jewish faith does not eat certain types of foods and fasts on religious holidays. What should the nurse do to ensure that this patient's needs are met?

Talk with the dietitian to obtain food preferences for the patient's meals

"A person can only value characteristics that are heritage consistent

The medication for sleep caused excessive sedation.

An older patient's spouse passed away 4 years ago; however, the patient still sets a place at the dinner table for the spouse and has never removed any clothing or other personal items from the home. What does the nurse suspect the patient is experiencing?

pathological grief

Which older patient is at greatest risk for vitamin D deficiency?

patient that does not drink milk

A resident in the nursing home is diagnosed with undernutrition and is unable to take in adequate food despite efforts by the multidisciplinary team and family members. Prior to insertion of a permanent feeding tube, which issue needs to be considered?

The patient's nutritional needs and tolerance of the formula feedings

An older patient with dementia has been medicated with sedatives. The healthcare provider now prescribes a lower dose of the sedative and the nursing staff is concerned that the patient will resume agitated behavior. What should be explained to the staff about the use of this medication?

The use of psychotropic drugs may be considered excessive and harm the patient's health.

The husband of a female patient of the Islamic culture asks that only a female doctor examine his wife. How should the nurse respond to the husband?

a female dr will be provided

After completing a medication history, the nurse notes that an older patient is prescribed 22 different medications and sees five different healthcare providers. What should the nurse determine about the patient from this information?

a situations of polypharmacy