To best assist an older adult patient to cope with a new diagnosis of chronic renal failure, the nurse
a. asks the patient to describe her usual cop-ing strategies.
b. provides the patient with descriptions of new coping strategies.
c. initiates discussions with the patient to explain the disease.
d. offers to arrange a meeting with another patient with the diagnosis.
C
Understanding the illness and what to expect is directly related to the ability to cope. After the patient has information, the nurse can then assess psychosocial systems.
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A 68-year-old female client who received treatment for a fracture is to be discharged because her healing is almost complete. Which of the following nursing actions is most critical for the client?
A) Advise the client to avoid red meat. B) Advise the client to keep the affected limb in an elevated position. C) Educate the client about the effects of menopause. D) Explore factors related to the client's home environment.
The faculty member explains to students that many older Americans continue to work past the "retirement age." What best explains this trend?
a. Feeling healthier longer b. Changing financial outlook c. Becoming bored in retirement d. A desire to give back
A patient tells the nurse that he is 65 years old and has not had a cold or any other type of infection for at least 30 years. The nurse realizes this patient most likely has:
1. Intact functioning MHC receptors. 2. An overabundance of white blood cells. 3. An enlarged spleen. 4. Engorged lymph nodes.
The telephone triage nurse receives a call from a parent who describes a crowing sound when the 18-month-old breathes and the child is hard to wake up. Which is the appropriate nursing action?
1. Making an appointment for the child to see the healthcare provider 2. Obtaining the history of the illness from the parent 3. Advising the parent to hang up and call 911 4. Reassuring the parent and providing instructions on home care for the child