Howard Yost, 78 years old, is a quadriplegic as the result of a serious fall from the roof while he was repairing some curled shingles. He has refused to participate in any facility activities and refuses to leave his room when his family visits
The occupational therapist is having difficulty getting him to participate in feeding and other upper extremity activities. What might be the cause of this type of behavior?
a. Relocation trauma
b. Depression
c. Dementia associated with a possible head injury from fall
d. Delirium
B
Mr. Yost seems to be exhibiting classic withdrawal symptoms of depression that can be expected with his sudden loss of independence and self-care ability. Mr. Yost does not seem to have symptoms that would be related to relocation trauma (response A), dementia (response C), or delirium (response D).
You might also like to view...
A community health nurse is evaluating a population for socioeconomic resources. Which of the following would the nurse address?
A) Quality of care provided B) Access to health care services C) Educational opportunities D) Adequacy of health care providers
To determine cultural influences on a client's diet, the nurse should first:
a. evaluate the client's weight gain during pregnancy. b. assess the socioeconomic status of the client. c. discuss the four food groups with the client. d. identify the food preferences and methods of food preparation common to that culture.
The nurse assesses a patient who complains of diffuse abdominal pain. There are absent bowel sounds and abdominal distension. These symptoms most closely correspond with which of the following medical diagnoses?
A) Appendicitis B) Bowel obstruction C) Cirrhosis D) Cholelithiasis
The nurse is conducting a nursing history of a client with a respiratory rate of 30, audible wheezing, and nasal flaring. During the interview, the client denies problems with breathing. What action should the nurse take next?
A) Clarify discrepancies of assessment data with the client. B) Validate client data with members of the health care team. C) Document all data collected in the nursing history and physical examination. D) Seek input from family members regarding the client's breathing at home.