A nurse assesses a client in their home and determines they are on a pathway towards frailty. What assessment findings lead the nurse to have this concern? Select all that apply.

1. Chronic use of pain medication
2. Diagnosis of diabetes and heart disease
3. Newly incontinent of urine
4. No children and recent death of spouse
5. Inability to drive to healthcare appointments


2. Diagnosis of diabetes and heart disease
3. Newly incontinent of urine
4. No children and recent death of spouse
5. Inability to drive to healthcare appointments

Explanation: 1. Chronic use of medications that can impair immunity (corticosteroids, antineoplastic agents) can lead towards frailty, not the use of pain medications.
2. Diagnosis with several chronic illnesses, each of which alone and in combination with others can cause harmful effects on overall physiological function, can lead towards frailty.
3. Changes of aging and loss of organ reserve and function in the very old can lead towards frailty.
4. Change in social and psychological environments can lead towards frailty.
5. Factors, such as functional loss, can lead towards frailty.

Nursing

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The nurse is instilling eardrops into a client's ear. Place the following in order according to best practice. (Separate letters by a comma and space as follows: a, b, c, d.)

a. Ask the client to move the head gently back and forth five times. b. Wash your hands. c. Wear gloves to remove any packing from the ear. d. Perform an otoscopic examination to see if the eardrum is intact. e. Irrigate the ear if needed to remove cerumen. f. Tilt the client's head in the opposite direction of the affected ear and place the drops in the affected ear. g. Warm the bottle of eardrops in a bowl of warm water for 5 minutes. h. Wash your hands again. i. Insert a ball of cotton in the ear as packing.

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A new nurse on a unit makes a charting error. Although the nurse rectifies the error appropriately, the nurse thinks, "I should have never become a nurse. I'm just no good at this." What type of thinking does this reflect?

A) Overgeneralization B) Catastrophic thinking C) Selective abstraction D) Minimization

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A physician is giving orders to a nurse regarding a newly admitted patient. The physician is gesturing, maintaining eye contact, and using a loud tone of voice. These factors illustrate primarily which type of communication?

1. Cultural 2. Nonverbal 3. Verbal 4. Metacommunication.

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When making an occupied bed,

A) the patient is in the bed. B) make the top first, then the bottom. C) keep the bed in the low position. D) the patient is out of bed.

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