In your observation of a 24-hour-postoperative elderly patient you find the patient in severe pain. He tells you he does not want to take the pain medication because he fears addiction. What is the best intervention for this patient?
1. Give the patient methadone.
2. Talk to the patient about his fears.
3. Just give the medication, and do not tell him.
4. Tell the patient how silly he is being.
2
Talk to patients about their fears, and help them to understand that they can take medications without unreasonable concern about addiction.
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A student said she wanted to discuss an issue with the nurse but that it was confidential. Therefore, she asks the nurse to promise as a professional to keep this a secret
She then shares that her roommate is very depressed; her older sister committed suicide, and she is planning on killing herself if she does not pass her final examinations. Which of the following actions should be taken by the nurse? a. As a professional who made a promise, the nurse teaches the student how to recognize if her roommate is getting ready to actually do it and the phone number of the suicide hot line. b. As secrecy was promised, the nurse can only encourage the student to encourage her roommate to seek help. c. The nurse should give the student brochures and information plus the suicide hotline phone number to share with her roommate. d. The nurse should stress that one cannot keep a secret when someone's life is at stake and immediately go to assess the roommate.
The nurse is preparing to conduct a health history with an older client. Which action should the nurse take to ensure the accuracy and efficiency of the client's health history?
1. Scheduling one-half hour for the medical history interview. 2. Requesting the client use the bathroom before starting the interview. 3. Ensuring the client has their identification and insurance card with them upon arrival. 4. Conducting the history in an environment with comfortable seating and proper lighting.
When evaluating the hemogram of an 8-month-old infant, the nurse would identify which type of hemoglobin as being the predominant type?
A) Hemoglobin A B) Hemoglobin F C) Hemoglobin A2 D) Hemoglobin S
The nurse points out that the most beneficial legislation that has influenced health care for the older adult is:
a. Medicare and Medicaid. b. elimination of the mandatory retirement age. c. Americans with Disabilities Act. d. the Drug Benefit Program.