The patient need that assumes priority when planning care for a patient with late-stage dementia is:
a. meaningful verbal communication.
b. promotion of self-care activities.
c. maintenance of nutrition and hydration.
d. preventing the patient from wandering.
C
In late-stage dementia, the patient often seems to have forgotten how to eat, chew, and swallow. Nutrition and hydration needs must be met if the patient is to live. The other issues are important but not as critical as nutrition.
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An older adult patient has been admitted to a busy medical unit. To control environmental stimuli a nurse should do which of the following?
a. Leave the hospital room lights on at all times. b. Turn off bedside equipment not in use. c. Leave the window curtains closed at all times. d. Leave the door open so the patient can hear the staff and feel secure.
In developing a teaching plan for a type I diabetic in pregnancy, the nurse will include which of the following?
a. Exercise will increase insulin requirements during pregnancy. b. Proteinuria levels are good indicators of metabolic regulation. c. Insulin requirements increase as pregnancy progresses. d. Complex carbohydrates need to be restricted.
When comparing the Older American's Resources and Services (OARS) with the Katz index of ADLs, what is true?
a. the Katz index and the OARS both measure only ADL performance b. the OARS is a comprehensive assessment tool that measures ability in five areas; the Katz index measures only ADL performance c. the OARS is used only for older adults in the long-term care setting; the Katz index is used in all settings d. the OARS is not valid for use in older adults who are cognitively impaired, whereas the Katz index is
What, in basic terms, do Commoner's laws of ecology state?
A. Everything is connected to everything else, and everything must go somewhere. B. Long-term survival requires protection of our environment. C. Only humans contaminate their own environment. D. Take care of the planet; it's the only one we've got.