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Questions and Answers | Grade A |
100% Correct (Verified Solutions)
Question:
High numbered acuities are at most risk:
Tim Jones, room 304
The nurse is assessing the patient as to where the patient's injuries originated
from. To do so, the patient must be assessed for delirium, depression, or
dementia. What are your next steps?
Answer:
Administer a mini-mental state exam.
Determine onset of confusion.
Assess patient's ability to perform activities of daily living over the last 6
weeks.
,Question:
Tim Jones Scenario 2
While attempting to inspect the patient's wounds, he is fearful of your
physical advances. How will you develop a sense of trust with the patient?
Answer:
Reduce external stimuli.
Speak slowly in a normal tone of voice.
Sit at the patient's eye level and ensure they can see your lip movement and
facial expression.
Sit quietly with the patient allowing them enough time to respond.
Question:
Tim Jones Scenario 3
In an older adult, multiple skin changes happen with aging. Identify possible
wounds of abuse as opposed to areas of normal aging. Select wounds that are
not a result of aging.
Answer:
Multiple bruises to the back.
, Hand imprint on the arm.
Question:
Tim Jones Scenario 4
The nurse is concerned that the patient may be abused in several ways. The
nurse assumes that the prescription medication is being diverted to the son.
After going through the patients medications, it is noted that the patient's
Tylenol number 3 is missing. When asking who cares for him daily, Mr. Jones
notes that his son takes care of his finances and filling his medications. The
patient's son and grandson live with him; when the grandson comes into the
room, the patient grimaces. Determine the types of abuse.
Answer:
Psychological abuse.
Medication abuse.
Question:
Tim Jones Scenario 5
After finishing the admission assessment. What are the necessary actions to
be incorporated into the plan of care?