The nurse assesses a behavior as a sign of depression in the new admission to a long-term care facility when the resident exhibits disorganization and
a. frequently comes to breakfast only partially dressed.
b. eats excessive amounts of food at mealtime.
c. socializes with only three or four other residents.
d. arranges daily activities in order to watch Jeopardy at 4:30.
ANS: A
Depressive behaviors are signaled by disorganization, making frequent errors, and leaving tasks incomplete because of preoccupation with depression.
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An older adult client diagnosed with asthma has a respiratory rate of 28 at rest with audible wheezes upon inspiration. Based on this data, which nursing diagnosis is the most appropriate?
A) Ineffective Airway Clearance B) Impaired Tissue Perfusion C) Ineffective Breathing Pattern D) Activity Intolerance
What must nurses do to fulfill a collaborative role?
1. Graduate with at least a baccalaureate degree. 2. Assume increased authority in practice areas. 3. Redesign unit policies to allow collaboration. 4. Lobby state boards of nursing to approve this collaborative role.
A 71-year-old patient has primary responsibility for a 47-year-old son, who is diagnosed with schizophrenia. The patient is concerned that her health is suffering from the aggravation she feels because her son is reluctant to take his medication and complains about the food she prepares for him. She is also worried about what will happen to him is she does become ill. Which factor will the nurse discuss with the patient?
a. Depression b. Elder abuse c. Palliative care d. Caregiver burden
A nurse is obtaining a drug history from a patient about to receive sulfadiazine. The nurse learns that the patient takes warfarin, glipizide, and a thiazide diuretic. Based on this assessment, the nurse will expect the provider to:
a. change the antibiotic to TMP/SMZ. b. increase the dose of the glipizide. c. monitor the patient's electrolytes closely. d. monitor the patient's coagulation levels.