While caring for an elderly man, the nurse observes that his skin is dry and wrinkled, his hair is gray, and he needs glasses to read. Based on these observations, what would the nurse conclude?
A) These are normal physiologic changes of aging.
B) The observations are not typically found in older adults.
C) These are abnormal observations and must be reported.
D) Extra teaching will be necessary to prevent complications.
A
You might also like to view...
Students are observing a staff nurse who is empathic with the child undergoing chemotherapy. The students observe the nurse interplaying the internalized feelings of the child and the child's experiences or fantasies
The students recognize that the nurse, while fully absorbed in the identity of the child, still identifies himself as a separate personality. The student who correctly understands empathy recognizes the phase of empathy as: 1. Detachment. 2. Identification. 3. Reverberation. 4. Incorporation.
The nurse patted the head of the child after examining her but noticed her parents did not look pleased. In which of the following cultures is touching the head impolite?
A) Asian American B) Native American C) Orthodox Jewish D) Anglo-American
An older patient is hospitalized for an exacerbation of chronic obstructive pulmonary disease (COPD), for which the patient is on chronic steroid use
The patient also has a fresh dog bite on the arm, which is not reddened, swollen, and only slightly tender. The patient is afebrile, but the nurse finds the patient confused and agitated. What action by the nurse is most appropriate? a. Place the patient on fall precautions. b. Put a bed alarm on the patient's bed. c. Call the rapid response team. d. Perform a sepsis screening exam.
A nurse who provides care at an inpatient eating disorder clinic is performing an admission assessment of a young woman who has been diagnosed with anorexia nervosa. Which of the following assessment questions is most therapeutic?
A) "Why do you prefer not to eat food if you know that it's both healthy and pleasurable?" B) "What do you think about how much you weigh right now?" C) "What do you believe has caused your anorexia?" D) "Is there anything that I can get you to eat right now?"