Ingrid Farnston, 82 years old, has the reputation of being a "difficult resident." She has lived at the long-term care facility for 2 years. She is very particular about how her care is performed and how her room is arranged
She commonly yells at the nursing assistants and complains about them to her family. The family is supportive of the staff and the care that they provide. The family often comments that their mother is "a difficult woman." Which of the following rehabilitation principles should guide her rehabilitation?
a. Personality problems are generally related to personality characteristics of the older person before he or she was disabled
b. The duration of rehabilitation depends on the psychological acceptance of the older adult of his or her condition
c. Loss and its meaning vary with every person
d. More severe emotional reactions are produced when disability is traumatic
A
An older adult's personality characteristics and traits do not change with aging but sometimes seem to intensify. Responses B, C, and D could affect Mrs. Farnston's rehabilitation; however, from the case presentation, she does not seem to be denying her disability (response B), having difficulty accepting her loss (response C), or having a severe emotional reaction to her functional limitations (response D).
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While completing a spiritual assessment, the nurse wants to assess a patient's sources of hope and strength. Which question would provide the most information about this aspect of spirituality?
A) "Is prayer helpful to you?" B) "Who is the most important person to you?" C) "What religious symbols are helpful to you?" D) "What do you think is going to happen to you?"
Postoperative pain tends to be undertreated in _______ ___________
Fill in the blank(s) with correct word
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b. hospital management's means of communicating directives and protocols to staff. c. the integration of differing health care systems, such as paper charts, point-of-care dataentry, PDAs, and medication orders, to all function together to increase patient health andreduce provider error. d. the ability of a computer to connect with other computers in various settings in a secure, accurate, and efficient way without special effort on the part of the user and without any restricted access or implementation.
As functional status and sensory acuity begin to decline, the elderly become vulnerable to an assortment of abusive and neglectful situations. What assessment of the elderly would support self-neglect?
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