When assessing aging adults, the nurse knows that one of the first things that should be assessed before making judgments about their mental status is:
a. Presence of phobias
b. General intelligence
c. Presence of irrational thinking patterns
d. Sensory-perceptive abilities
ANS: D
Age-related changes in sensory perception can affect mental status. For example, vision loss (as detailed in Chapter 14) may result in apathy, social isolation, and depression. Hearing changes are common in older adults, which produces frustration, suspicion, and social isolation and makes the person appear confused.
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A nurse in a critical care unit observes that communication in the unit is not fully honest and straightforward, in that people do not confront others who are not meeting expected care standards
The nurse proposes an improvement strategy for this problem. What outcome is most likely? A) The less-than-competent staff members will be encouraged to leave. B) Improved collaborative communication will result in improved patient safety. C) Staff will have less need to check on each other's work. D) Patients' families will make fewer complaints to the patient representative.
What statement best represents infectious mononucleosis?
a. Herpes simplex type 2 is the principal cause. b. A complete blood count shows a characteristic leukopenia. c. A short course of ampicillin is used when pharyngitis is present. d. Clinical signs and symptoms and blood tests are both needed to establish the diagnosis.
A client demonstrates a positive Romberg's sign with eyes closed, but not with eyes open, during the course of the neurologic examination. What conclusion can the nurse make from this observation?
A. The client has difficulty with proprioception. B. The client has a peripheral motor disorder. C. The client has a cerebellar lesion. D. The client has pronator drift.
Nurses should educate parents about which of the following AAP recommendations to promote a safe sleep environment and decrease the risk of SIDS and SUID in infants less than 12 months of age?
1. Babies should not be offered a pacifier while falling asleep. 2. Babies should be bottlefed unless contraindicated. 3. Babies should be under many covers when sleeping to keep them warm. 4. Babies should have "tummy time" when they are awake.