According to Maslow's hierarchy of needs, the nursing strategies a psychiatric nurse would use to assist in meeting self-esteem needs of elderly clients would include:
1. Supporting needs for intimacy
2. Assisting with obtaining financial help
3. Identifying the individual's locus of control
4. Promoting attractive physical appearance
ANS: 4
Promoting an attractive physical appearance will assist clients in meeting the need for self-esteem. Clients receive positive feedback when appearance is attractive. Option 1 is related to the need for belonging. Option 2 is related to the need for safety and security. Option 3 is not related to Maslow's hierarchy of needs.
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Upon entering a room, the nurse quickly scans the environment and then immediately assesses the client for manifestations of metabolic acidosis. Which did the nurse observe to precipitate this client assessment?
A) Client sleeping with the head of the bed flat B) Half of the client's lunch tray uneaten C) One formed stool in the bedside commode D) 1000 mL of intravenous 0.9% normal saline infused in 2 hours
When testing cranial nerve I in an elderly client who has had a head trauma, in which sequence would the nurse perform the procedure? (Prioritize sequence.)
1. hold vial with aromatic odor under the open nostril and instruct client to inspire 2. assess nose for patency by occluding one nasal wing at a time and asking client to sniff inward with the unoccluded nostril 3. have client close eyes and occlude one nostril 4. inspect the mucous membranes of the nares with an otoscope and speculum 5. have client identify aromatic odors as presented
Which individual should receive further examination to determine the cause of the change in hair distribution?
a. 60-year-old male, who has lost all of the hair on his scalp over the past 15 years. b. 26-year-old female, who has experienced an increase of facial hair in the past year. c. 55-year-old male, who has developed coarse dark hairs in his ears and nose. d. 11-year-old girl, who has recently developed several dark hairs in her axillae and pubic area.
A useful laboratory measure that indicates protein-energy malnutrition in hospitalized elders include a total cholesterol below____
A. 190 mg/dl B. 180 mg/dl C. 170 mg/dl D. 160 mg/dl