Which of the following elderly individuals would have the least chance of developing mental health problems as they age?
A) Mr. Jones, who is married, has an 8th grade education, and walks to the mailbox and back every day
B) Mrs. Petrie, who is single, has a graduate education, eats nutritionally balanced meals, and exercises for 20 minutes each day
C) Mr. Perkins, who is single, has a high school education, eats mostly fast food, and walks a mile each day
D) Mrs. James, who is married, has a BS degree, watches what she eats, and, for the most part, does not exercise
B
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When performing the corneal light reflex assessment, the nurse notes that the light is reflected at 2 o'clock in each eye. The nurse should:
a. Consider this a normal finding. b. Refer the individual for further evaluation. c. Document this finding as an asymmetric light reflex. d. Perform the confrontation test to validate the findings.
What technique should the nurse use to elicit the Brudzinski reflex in a client being assessed for meningitis?
A. Instruct the client to hold both hands back to back while flexing the wrists 90 de-grees. B. Gently flex the client's head and neck onto the chest and observe for flexion of the hips and knees. C. Have the client stand with feet and knees together and eyes closed. Observe for swaying. D. Flex the client's leg at the hip, bringing the knee to a 90-degree angle, extend the knee, and observe the client for hamstring muscle pain or spasm.
The immune system attacks the synaptic junction between the nerve and muscle fibers, blocking acetylcholine receptor sites in:
a. myasthenia gravis. b. encephalitis. c. multiple sclerosis. d. cerebral palsy.
The nurse is caring for a client receiving IV midazolam for conscious sedation for a procedure. The nurse should:
a. administer it IV 60 minutes prior to the procedure. b. monitor closely for respiratory depression. c. maintain a continuous administration during the procedure. d. provide warm blankets to prevent hypothermia.