Which of the following outcomes would indicate successful reality orientation of an older adult client?
1. Ability to identify personal strengths
2. Ability to perform basic tasks and personal care activities
3. Ability to identify place and person
4. Ability to express faith and meaning in life
3
Rationale: Reality orientation is successful when clients are able to use the part of their minds that are still intact. Orientation to time is the first ability that is lost followed by place, then person. Ability to perform basic tasks and personal care activities can occur without orientation to place or person. The ability to identify personal strengths or express faith and meaning in life are goals for remotivation or reminiscence therapy and not expected in reality orientation.
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A. Hard corn B. Tinea pedis C. Soft corn D. Plantar warts (verrucae)
Which of the following are methods of assessing clients at risk for injury? (Select all that apply.)
1. Cognitive awareness 2. Mobility and health status 3. Nursing history 4. Physical examination
Bargaining refers to the stage of dying when a patient attempts to strike a deal with God to postpone their death
True False
A client with depression says to a nurse, "Why is my family meeting with you? Are you telling them about me?" Which response by the nurse would be therapeutic?
A. "Have you talked with your family? What have they said to you about the meetings?" B. "I am committed to keeping everything you say to me confidential, so it is troubling when you accuse me of talking to your family." C. "You sound concerned that I would tell your family something about you even though you know that what we talk about is confidential." D. "Your family is learning about depression and how best to help you so that they can be supportive of you. We do not talk about you or anything confidential about you."