Which of the following assessment findings would suggest the elderly patient may be a victim of abuse?
a. lentigo senilis c. vague explanations for cause of injuries
b. presbycusis d. openness to strangers
C
Abused older adults may either cling to or act in a very guarded manner toward the abuser. Another indicator of possible abuse is vague explanations offered for the cause of injuries.
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A nurse in the family practice clinic is assessing an older adult who has dementia. The adult daughter/caregiver expresses concern that the parent should no longer be left alone while the daughter is at work. What response by the nurse is best?
a. Refer the family to a social worker. b. Encourage the daughter to look into nursing homes c. Tell the daughter there are medications for dementia. d. Help the daughter explore adult day care options.
A nurse is completing a focused respiratory assessment of a child with asthma. What assessment finding is most closely associated with the characteristic signs and symptoms of asthma?
A) Shallow respirations B) Increased anterior-posterior (A-P) diameter C) Bilateral wheezes D) Bradypnea
Which of the following anticholinergic effects may a patient experience when receiving brompheniramine (Dimetapp)?
a. Dry mouth b. Enhanced vision c. Excessive tearing d. Increased voiding
A nurse is managing the care of a family who has had no previous experience with community mental health care. The intervention addressed at the initial meeting should focus on:
a. determining similarities between the family and the other families presently receiving care at the clinic. b. arranging for a social worker to be present to help the family acquire supportive community services. c. helping the family meet other families in the community who have members with mental illnesses. d. examining whether the nurse's cultural background reflects those of the family members.