While obtaining a personal history from a 72-year-old patient being admitted to a long-term care facility the nurse notices that the patient seems depressed. Which intervention should the nurse recommend be included in the patient's plan of care?

a. Tell the patient to look forward and not back at the past.
b. Remind the patient to be accepting of help from family members.
c. Explain to the patient that some level of depression is normal with aging.
d. Guide the patient in reminiscing about the past with a focus on the positives.


ANS: D
The developmental goal for people age 65 or older is integrity versus despair. Reminiscence is one way for the nurse to assist the older adult in passing through this stage. Depression is not normal with aging. A. B. C. These actions do not support the developmental goal for this age group.

Nursing

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The nurse is caring for a patient who is 2 days post-inhalation burn injury from a house fire. Which outcome best indicates that nursing interventions for impaired gas exchange have been effective?

a. Peripheral pulses are present and strong. b. PaCO2 is 56 mm Hg. c. The patient is alert and oriented. d. The patient is afebrile.

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The nurse receives an order to administer glycopyrrolate 0.002 mg/kg to the pediatric patient preoperatively. The patient weighs 14 lbs. If 1 pound = 2.2 kg, how many kilograms would the nurse administer to this patient?

A) 0.013 mg B) 0.13 mg C) 0.028 mg D) 0.28 mg

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During an in-person interview, it is appropriate to address the person by her first name so that you initiate a casual conversation

Indicate whether the statement is true or false.

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A common perceptual distortion associated with self-hypnosis is:

a. increased circulation to the body b. the sense of having slept for an hour c. coming up with new, viable solutions d. slowing heart and breath rates

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