What should be considered when planning a health interview with an older adult? (Select all that apply.)
a. Comfort of the physical setting
b. Methods to develop trust and rapport
c. Timing for minimal distractions
d. The age and ethnicity of the patient
e. Income level
ANS: A, B, C, D
Income level is not a primary consideration in the health interview.
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How does guardianship differ from power of attorney?
A) The court appoints a guardian. An individual grants a power of attorney to someone else to make decisions on his or her behalf B) Guardianship is legally binding whether or not an individual is competent. Power of attorney applies only to the incompetent C) Courts monitor the actions of those executing a power of attorney, but guardians are free to act on behalf of another as long as standards of "reasonable prudence" are met D) Guardianship stays in effect for one calendar year and must be renewed annually. Power of attorney stays in effect until one or both parties choose to revoke it
A young woman comes in with brief, rapid, jerky, irregular movements. They can occur at rest or during other intentional movements and involve mostly her face, head, lower arms, and hands. How would you describe these movements?
A) Tics B) Dystonia C) Athetosis D) Chorea
Which patient statements would be considered a potential risk factor for family-directed violence towards them? (Select all that apply.)
a. "My parents certainly believed in not spoiling a child.". b. "I'm angry that I had to get a part-time job to help buy food.". c. "My family thinks I'm just a burden, but they'll be sorry that they treated me so badly.". d. "When my spouse gets upset he tells me I'm no longer attractive because I've gained weight.". e. "I work long hours to pay the bills and put food on the table but I can't seem tomake my spouse happy.".
The registered nurse (RN) hears a client calling out for help. The RN hurries down the hallway to the client's room and finds the client lying on the floor. The RN performs a thorough assessment and assists the client back to bed
The physician is notified of the incident, and the nurse com-pletes an incident report. Which of the following would the RN document on the incident report? 1. The client fell out of bed. 2. The client climbed over the side rails. 3. The client was found lying on the floor. 4. The client became restless and tried to get out of bed.