The geriatric nurse recognizes that the bodys c. 86-year-old who lost a spouse and is moving into an assisted living facility.
homeostatic mechanisms may be compromised in the: (Declining physiologic function and increased prevalence of disease,
particularly in the old-old
a. 79-year-old with moderate Alzheimer disease who (age 85 or older), are in part a result of a reduction in the bodys ability to
requires assistance with all activities of daily living respond to stress
(ADLs). through all of its homeostatic mechanisms. The important point is that older
b. 73-year-old with a history of chronic bronchitis who adults often
lives with family. encounter profound and repeated losses; the time between the occurrences of
c. 86-year-old who lost a spouse and is moving into an these losses is
assisted living facility. often short, resulting in an inadequate period for resolution and return to a
d. 69-year-old with peripheral vascular disease who is baseline state, thus
visited by home health putting them at risk for illness. Although the other patients may have
care weekly. compromised homeostatic
mechanisms, the 86-year-old patient is most likely to exhibit this phenomenon)
To best minimize patient anxiety and help ensure a c. explains the reason for asking the questions. (To ensure a successful
successful history assessment interview, the geriatric interview, the nurse should explain the reason for the interview to the
nurse first: patient followed by a brief overview of the format to be followed. This helps
alleviate anxiety
a. asks whether the patient has any questions about and uncertainty, and the patient can then focus on providing the information.
the interview. The other options
b. makes sure the interview area is comfortable and are all important actions during the assessment interview, but they will not
private. diminish anxiety as
c. explains the reason for asking the questions. much as an explanation of the purpose.)
d. assures the patient that all answers will be kept
confidential.
, An older patient is admitted for bacterial pneumonia. d. Older adults frequently lack the typical signs of a respiratory infection. (The
The only abnormal assessment values include a heart characteristic presentation of illness in older adults is more commonly one of
rate of 102 beats per minute, slight cyanosis of the nail blunted or
beds, and mild confusion. The patients daughter atypical signs and symptoms. Stating, we are lucky to determine the problem
questions the possibility of pneumonia stating, He isn't does not give any useful information. Respiratory problems are often present
coughing or having any difficulty breathing. The nurse early on in
responds most appropriately by saying: younger people. The lack of coughing is not caused by weakness)
a. We are lucky to determine the problem in its early
stage.
b. Respiratory problems develop only after the infection
is well
established.
c. People your dads age often lack the muscular
strength to cough.
d. Older adults frequently lack the typical signs of a
respiratory infection.
A nurse aide working in the geriatric units dining room c. immediately take the patients vital signs and report them to her. (A sudden
tells the nurse that a patient who was oriented to time change in an older adult patients cognitive status is likely a symptom of a
and place this morning is now confused about what physiologic
day it is and why shes here. The nurse appropriately stressor such as an infection. The vital signs will allow the nurse to determine
directs the nurse aide to: the presence of a
fever or other deviation from the patients baseline vitals. The patient may or
a. take the patient back to her room and put her safely may not need or wish
in bed. to go to bed, but this does not provide any data for the nurse to evaluate. An ill
b. place a falls risk identification bracelet on the patient patient may need
and add the status care plan. to be on fall precautions, but again this does not provide data. Reorientation
c. immediately take the patients vital signs and report may be necessary, but
them to her. if the patient has an illness, this needs to be taken care of)
d. reorient the patient to time and place frequently and
document the patients
response.
homeostatic mechanisms may be compromised in the: (Declining physiologic function and increased prevalence of disease,
particularly in the old-old
a. 79-year-old with moderate Alzheimer disease who (age 85 or older), are in part a result of a reduction in the bodys ability to
requires assistance with all activities of daily living respond to stress
(ADLs). through all of its homeostatic mechanisms. The important point is that older
b. 73-year-old with a history of chronic bronchitis who adults often
lives with family. encounter profound and repeated losses; the time between the occurrences of
c. 86-year-old who lost a spouse and is moving into an these losses is
assisted living facility. often short, resulting in an inadequate period for resolution and return to a
d. 69-year-old with peripheral vascular disease who is baseline state, thus
visited by home health putting them at risk for illness. Although the other patients may have
care weekly. compromised homeostatic
mechanisms, the 86-year-old patient is most likely to exhibit this phenomenon)
To best minimize patient anxiety and help ensure a c. explains the reason for asking the questions. (To ensure a successful
successful history assessment interview, the geriatric interview, the nurse should explain the reason for the interview to the
nurse first: patient followed by a brief overview of the format to be followed. This helps
alleviate anxiety
a. asks whether the patient has any questions about and uncertainty, and the patient can then focus on providing the information.
the interview. The other options
b. makes sure the interview area is comfortable and are all important actions during the assessment interview, but they will not
private. diminish anxiety as
c. explains the reason for asking the questions. much as an explanation of the purpose.)
d. assures the patient that all answers will be kept
confidential.
, An older patient is admitted for bacterial pneumonia. d. Older adults frequently lack the typical signs of a respiratory infection. (The
The only abnormal assessment values include a heart characteristic presentation of illness in older adults is more commonly one of
rate of 102 beats per minute, slight cyanosis of the nail blunted or
beds, and mild confusion. The patients daughter atypical signs and symptoms. Stating, we are lucky to determine the problem
questions the possibility of pneumonia stating, He isn't does not give any useful information. Respiratory problems are often present
coughing or having any difficulty breathing. The nurse early on in
responds most appropriately by saying: younger people. The lack of coughing is not caused by weakness)
a. We are lucky to determine the problem in its early
stage.
b. Respiratory problems develop only after the infection
is well
established.
c. People your dads age often lack the muscular
strength to cough.
d. Older adults frequently lack the typical signs of a
respiratory infection.
A nurse aide working in the geriatric units dining room c. immediately take the patients vital signs and report them to her. (A sudden
tells the nurse that a patient who was oriented to time change in an older adult patients cognitive status is likely a symptom of a
and place this morning is now confused about what physiologic
day it is and why shes here. The nurse appropriately stressor such as an infection. The vital signs will allow the nurse to determine
directs the nurse aide to: the presence of a
fever or other deviation from the patients baseline vitals. The patient may or
a. take the patient back to her room and put her safely may not need or wish
in bed. to go to bed, but this does not provide any data for the nurse to evaluate. An ill
b. place a falls risk identification bracelet on the patient patient may need
and add the status care plan. to be on fall precautions, but again this does not provide data. Reorientation
c. immediately take the patients vital signs and report may be necessary, but
them to her. if the patient has an illness, this needs to be taken care of)
d. reorient the patient to time and place frequently and
document the patients
response.
