The nurse showing the best understanding of how personal attitude affects the interview process during a health assessment of an older adult patient is one who
a. proceeds with the interview as if the pa-tient were not an older adult.
b. incorporates therapeutic communication into the assessment process.
c. treats all patients with respect regardless of age.
d. has self-reflected on his or her own feel-ings regarding aging.
D
The nurse's own anxiety and fear of personal aging as well as a lack of knowledge regarding older people contribute to commonly held negative attitudes, myths, and stereotypes about older people that interfere with a successful, effective assessment interview. The nurse must acknowl-edge the age-related differences in this patient. The nurse does use therapeutic communication, but this may be hampered by unrealized stereotypes. The nurse should treat all patients with re-spect, but this statement does not give specific information on how to do so.
You might also like to view...
Which of the following steps of the communication process does the community health nurse who is serving as the sender have the most control of? Select all that apply
A) The receiver B) The decoding C) The message D) The channel E) The feedback loop F) The encoding
Which of the following are considered portals of exit in the chain of infection? (Select all that apply.)
1. A bleeding cut 2. A hardy sneeze 3. A kiss on the lips 4. A urinary catheter 5. A scraped knuckle 6. A friendly handshake
A student asks what the cause of structural scoliosis is. What explanation by the professor is accurate?
a. Poor posture b. Vertebral rotation c. Poor calcium absorption d. Intrauterine trauma
The following questions refer to your patient who is on IV heparin therapy according to the "Standard Weight-Based Heparin Protocol" noted below. The patient weighs 144 pounds. On admission, the patient's APTT is 30 seconds. You initiate IV heparin therapy at 1130 on 06/06/XX. Record your answers in the spaces below unless provided with the "Standard Weight Based Heparin Protocol Worksheet" by
your instructor. Standard Weight-Based Heparin Protocol For all patients on heparin drips: 1. Weight in KILOGRAMS required for order to be processed: ______ kg. 2. Heparin 25,000 units in 250 mL of 1/2 NS. Boluses to be given as 1,000 units/mL. 3. APTT q.6h or 6 hours after rate change; daily after two consecutive therapeutic APTTs. 4. CBC initially and repeat every ____ day(s). 5. Obtain APTT and PT/INR on day one prior to initiation of therapy. 6. Guaiac stool initially, then every __ day(s) until heparin discontinued. Notify if positive. 7. Neuro checks every ____ hours while on heparin. Notify physician of any changes. 8. D/C APTT and CBC once heparin drip is discontinued unless otherwise ordered. 9. Notify physician of any bleeding problems. 10. Bolus with 80 units/kg. Start drip at 18 units/kg/h. 11. If APTT is < 35 secs: Rebolus with 80 units/kg and increase rate by 4 units/kg/h. 12. If APTT is 36-44 secs: Rebolus with 40 units/kg and increase rate by 2 units/kg/h. 13. If APTT is 45-75 secs: Continue current rate. 14. If APTT is 76-90 secs: Decrease rate by 2 units/kg/h. 15. If APTT is > 90 secs: Hold heparin for 1 hour and decrease rate by 3 units/kg/h. What does the protocol/sample orders indicate for the initial infusion rate for this patient? ? __________ units/kg/h ? Calculate the dosage of heparin this patient should receive each hour. ? __________ units/h ? What does the protocol/sample orders indicate as the required solution concentration (supply dosage) of heparin to use for the initial infusion? ? __________ units/mL ? Calculate the heparin solution volume this patient should receive each hour to provide correct infusion for the patient's weight. ? __________ mL/h Fill in the blank(s) with correct word