Which of the following statements is true about the mental health of older adults?
a. Nurses should discourage denial and re-gression so older adults can directly face underlying causes of anxiety.
b. Anxiety is easily distinguished from de-pression, dementia, and the effects of dis-ease or medication.
c. Compulsive rituals surrounding toileting and sleep are signs of a serious mental disorder.
d. The nurse avoids antianxiety medications without an assessment for factors asso-ciated with anxiety.
D
Without an adequate assessment, medications can exacerbate a problem. Denial and regression may be necessary to enable an older person to cope with underlying stressors. Depression, de-mentia, disease, and medications can produce anxious behavior, and the resultant anxiety can be manifested in a similar manner, regardless of the cause. Compulsive rituals can be a way of cop-ing with challenges leading to anxiety.
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Because of rapid turnover and the ongoing hiring of new graduates, the skill levels of staff in a busy CCU are varied. Senior staff are becoming burned out with the need to provide mentorship and guidance to new staff. As the manager, you propose the addition of a nurse in advanced practice to provide consultation and education for staff. This position is termed a(n):
a. Hierarchical position. b. Ancillary. c. Line position. d. Staff position.
The physician orders digoxin (Lanoxin) 125 micrograms. The elixir contains 0.25 mg/mL. How many mL would you administer?
1. 0.002 mL 2. 0.5 mL 3. 0.02 mL 4. 2 mL
Which does the nurse use to prevent complications of an indwelling urinary catheter?
1. Maintain tension on the tubing. 2. Keep collection bag on the bed. 3. Empty collection bag every 24 hours. 4. Clean catheter from meatus to tubing.
During the ECT (electroconvulsive therapy) stimulus, the nurse supports the patient's chin firmly against the bite-block positioned between the upper and lower teeth. The rationale for this intervention is to prevent:
a. involuntary biting of the lips. b. tooth damage or gum laceration. c. involuntary swallowing of the tongue. d. development of TMJD (temporomandibular joint disorder).