A 79-year-old client resides independently in the community. The visiting home health nurse finds that despite it being 90 degrees Fahrenheit outside, the windows are closed and the client is wearing a sweater
The nurse initially recognizes that this behavior may be related to:
a. cognitive changes that diminish the indi-vidual's awareness of temperature chang-es.
b. age-related neurosensory changes that di-minish awareness of temperature changes.
c. a delirium-related acute illness that is af-fecting body heat production.
d. age-related motor deficiencies that result in self-neglect.
ANS: B
Neurosensory changes related to aging tend to delay or diminish the individual's awareness of temperature changes and may impair behavior or thermoregulatory responses to dangerously high or low temperatures. There is no evidence in this scenario that the client has cognitive changes, an acute illness, or is incapable of self-care, and such assumptions should not be routinely made based on age alone.
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ANS:
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A. Permissive parent. B. Authoritarian parent. C. Authoritative parent. D. Administrative parent.
The critical incident stress management (CISM) team is defusing a group of disaster survivors. Which of the following explanations describes the purpose of defusing?
A) To assess how the patient is coping emotionally after the disaster B) To educate the patient on future coping strategies in future disasters C) To provide individuals with education about recognizing stress reactions D) To assess the need for referral to mental health
Objective physical data describe air moving through small airways over the lung's periphery. The expected inspiratory-to-expiratory phase of this normal vesicular breath sound is which of the following?
a. The inspiratory phase lasts exactly as long as the expiratory phase. b. The expiration phase is longer than the inspiration phase. c. The expiration phase is two times longer than the inspiration phase. d. The inspiratory phase is three times longer than the expiratory phase.