An older client is experiencing the greatest problem with the concept of autonomy when he has difficulty:
1. Expressing his need for pain medication
2. Disagreeing with his health care provider
3. Participating in discussions regarding his treatment
4. Discussing his need for assistive living arrangements
ANS: 2
Older people are usually not as familiar with the concept of autonomy as people from younger generations. As a result, older adults are sometimes uncomfortable disagreeing with doctors or nurses. They view assertiveness as a violation of trust. The remaining options reflect autonomy problems but management of personal health issues is the most important issue.
You might also like to view...
The nurse is assessing a 75-year-old man. As the nurse begins the mental status portion of the assessment, the nurse expects that this patient:
a. Will have no decrease in any of his abilities, including response time. b. Will have difficulty on tests of remote memory because this ability typically decreases with age. c. May take a little longer to respond, but his general knowledge and abilities should not have declined. d. Will exhibit had a decrease in his response time because of the loss of language and a decrease in general knowledge.
Staff members at the bottom of the organizational hierarchy have:
A. No power. B. No power and no authority. C. High authority and high power. D. Little authority, but some power.
A nursing student says to the clinical faculty, "I know I will be able to care for this patient given your directions." In which stage of Cohen's model of professional socialization is this student?
a. Stage I: Unilateral dependence b. Stage II: Negativity/independence c. Stage III: Dependence/mutuality d. Stage IV: Interdependence
A child is scheduled for tests to diagnose pyloric stenosis. What is the pathophysiology of this disorder?
A) A partial or complete intestinal obstruction occurs B) A thickened, elongated muscle causes an obstruction at the end of the stomach C) There are recurrent paroxysmal bouts of abdominal pain D) In this disorder the sphincter that leads into the stomach is relaxed