The nurse is very busy caring for a large case load. An adult patient mentions that by having slow mobility, "people just do things for me rather than allowing me to do as much as possible on my own."
To solve the dilemma of needing to conserve time versus supporting the patient's involvement in self- care, what principle may help the nurse? a. Veracity c. Justice
b. Fidelity d. Autonomy
D
Autonomy implies the freedom to have choices and make decisions about one's own care with-out interference. Just because this patient is slow does not mean he or she cannot make choices and participate in self-care. Justice is the duty to treat all patients fairly without regard to age, socioeconomic status, or other variables. This principle involves the allocation of scarce and ex-pensive health care resources. Veracity is the duty to tell the truth. Fidelity involves keeping in-formation confidential and maintaining privacy and trust.
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During a health promotion seminar, a nurse is teaching a group of older adults at a senior center about some of the normal changes that accompany the aging process
Which of the following statements about the effects of aging on the nervous system is most accurate? A) "It's actually a myth that intellectual performance and verbal skills deteriorate in older adults.". B) "Your brain actually becomes smaller as you age and this affects how quickly older adults react.". C) "The brain's ability to assimilate new information decreases greatly after age 65.". D) "While blood flow through the brain remains consistent across the life span, the electrical activity of the brain declines somewhat later in life.".
The nurse researcher is writing the review of literature portion of the research report. What should this nurse include in this section?
1. Direct quotes from multiple sources rather than paraphrases 2. Studies that support and oppose the researcher's position 3. Proven secondary sources 4. Literature that is no more than five years old
The patient reports having a persistent cough for the past 2 weeks and that the cough disrupts sleep and has not been helped by over-the-counter cough medicines. Which question is most appropriate for the nurse to ask next?
a. "So what do you think is causing this persistent cough?" b. "Have you tried taking sleeping pills to help you sleep?" c. "Did you think this will just go away on its own?" d. "What other symptoms have you noticed related to this cough?"
When the older man complains of a hard white patch that has developed on the side of his tongue, the nurse should:
a. request a dental consult to evaluate his dentures for adequate fit. b. examine his teeth to assess for a lost filling, which has left sharp edges on his teeth. c. request a medical consult for evaluation of a precancerous lesion. d. provide frequent, warm, salt water rinses for his mouth.