Which assessment findings related to a 68-year-old patient should be identified as risk factors for late-onset alcohol abuse and dependence? Select all that apply
a. Chronic obstructive pulmonary disease
b. Insomnia
c. Male gender
d. Boredom and loneliness
e. Recent loss of spouse
A, B, D, E
Insomnia or chronic medical illness might lead the individual to use alcohol to self-medicate. Loss of a spouse, boredom, and loneliness often result in alcohol use to escape emotional distress. Statistics show that more women than men develop late-onset problem drinking.
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A client who is dying has not spoken to the doctor about her status but suspects that death is imminent. The client asks you about her status and while you feel awkward, you answer honestly without omissions of uncomfortable information
This situation represents which ethical principle? a. beneficence c. values clarification b. nonmaleficence d. veracity
A nurse hears a colleague state, "It's actually a myth that older people get sick more often and have a weaker immune response than young people.". How can the nurse best respond?
A) "Even though there are things that older people can do to strengthen their immune system, it naturally does get weaker over time.". B) "It's true; while older adults do suffer from more chronic conditions, they don't become more susceptible to infections as they age.". C) "Actually, function of the immune system becomes weaker with each decade and this decline is not modifiable.". D) "You're right. Characterizing older adults as sickly is an inaccurate stereotype based on ageist ideas.".
When the nurse is obtaining a sexual history, which assessment data reflects a physical factor associated with sexual functioning?
A. The client is single. B. The client is dressed as a female. C. The client uses condoms for birth control. D. The client believes sexual functioning is an important part of being a healthy woman.
Your elderly client is hard of hearing. What is the best way to communicate with him?
1. Use a family member to translate. 2. Write notes to the client. 3. Speak loudly and in a high-pitched voice. 4. Stand in front of the client and speak in a normal tone of voice at a lower pitch.