The older patient presents to the emergency department after stepping in front of a car at a crosswalk. After the patient has been triaged, the nurse interviews the patient. Which of the following comments would require follow-up by the nurse?
a. "I try to exercise, so I walk that block almost every day."
b. "I waited and stepped out when the traffic sign said go."
c. "The car was going too fast, the speed limit is 20."
d. "I was so surprised; I didn't see or hear the car coming."
ANS: D
The patient did not see or hear the car coming. As patients age, sensory impairment can increase the risk for injury. This statement by the patient would require follow-up by the nurse. The patient needs hearing and eye examinations. Exercise is important at every stage of development. The patient seemed to comprehend how to cross an intersection correctly and was able to determine the speed of the car.
You might also like to view...
A client, aged 15 years, has been referred to the mental health center by the juvenile court after being arrested for prostitution. Her parents told the court they could not manage her, that she was physically abusive to her mother and defiant and hostile to her father. At the mental health center she refused to participate in scheduled activities. She also pushed an elderly client, causing her to fall. The approach by nursing staff that would be most therapeutic is
a. neutrally permitting refusals. b. coaxing to gain compliance. c. offering rewards in advance. d. establishing firm limits.
What intervention is most important to teach the client about identifying the onset of dehydra-tion?
a. Measuring abdominal girth b. Converting ounces to milliliters c. Obtaining and charting daily weight d. Selecting food items with high water con-tent
A high school athlete tells the nurse that a high-protein diet is necessary for strong muscles. The nurse will want to point out to the athlete that:
1. A high protein diet will lead to weight loss so should be avoided. 2. The additional protein will provide extra energy. 3. It is not worth the extra expense. 4. Strong muscles are developed with exercise, not extra protein.
Which theorist developed a theory based on his work with depressed patients?
A) Skinner B) Beck C) Erickson D) Ellis