The 85-year-old patient with a newly diagnosed heart murmur expresses concern that he has never been notified of this finding before. What is the most likely cause of this patient's heart murmur?
a. Hypertension
b. Atherosclerosis
c. Insufficient valves
d. Weakened pacemaker
C
Systolic murmurs commonly appear in people over the age of 80 . These murmurs are usually related to valvular dysfunction caused by thickening of the valves, especially the mitral and aor-tic valves.
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The focus on the relief of suffering, in all of its dimensions, is referred to as
a. aggressive care c. hospice care b. advance directives d. palliative care
A patient who is admitted to same-day surgery for a partial laryngectomy states, "I know my cancer was found in its early stages but I am so afraid that it will come back." The nurse's best response would be:
A) "I understand you are afraid but you have an excellent doctor." B) "You are lucky they found your cancer before you needed more radical surgery." C) "I understand you are afraid. Has the doctor discussed the chance of cancer recurrence?" D) "Would you like more information about your care immediately after the surgery and when you go home?"
A nurse explained that the elderly are twice as likely to die in a home fire as younger persons and therefore suggested some safety measures. Which of the following strategies would most likely have been suggested by the nurse?
a. Have smoke detectors installed in the house b. Invite a family member to sleep in the house at night c. Practice escaping quickly from the house in case of an emergency d. Program your phone so the fire department can be reached by pushing only one button
A young female member in a therapy group relates to an older female patient as one might to a mother, accusing her of trying to control her whenever the older member offers observations or suggestions to her
Which therapeutic factor of a group is represented by this behavior? a. Instillation of hope b. Existential resolution c. Development of socializing techniques d. Corrective recapitulation of the primary family