Which strategy would be included in a nursing care plan for an older adult patient who has sundown syndrome? (Select all that apply.)
a. Minimizing daytime sleep
b. Increasing physical activity, such as walking
c. Protecting the patient from exposure to sunlight
d. Increasing social interaction with staff and others
e. Engaging the patient in mentally stimulating activities
A, B, D, E
It is postulated that sundown syndrome is caused by deterioration of the suprachiasmatic nucleus of the hypothalamus. This interferes with the major pacemaker of circadian rhythms. One strategy to ameliorate it is to provide at least minimal exposure to direct sunlight each day to reset circadian rhythm. The other interventions are safe and effective.
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What is grief a normal response to? (Select all that apply.)
a. Loss of loved ones b. Loss of professional roles c. Loss of dependence d. Loss of health e. Loss of relationships
Long-term hormone replacement therapy (HRT) is being discussed with a patient who is scheduled for a total hysterectomy. For which health problem will this patient be at risk for developing? Select all that apply.
A. Heart attack B. Breast cancer C. Stroke D. Venous thrombosis E. Colon cancer
A nurse assesses a patient's capillary refill time as less than 3 seconds. What does this assessment indicate?
a. Hypertension b. Tissue perfusion c. Excess fluid volume d. Increased blood viscosity
A PHN is developing a measurable outcome health status indicator that can be used at the indi-vidual level of practice. Which of the following would the nurse most likely use?
a. A 50-year-old woman receives annual mammograms b. School absences in a community decline c. Teachers have increased awareness of health problems d. Those in poverty utilize the free mammo-gram program