The nurse suspects an older patient is having a grand mal seizure. What did the nurse observe in the patient?
1. Rhythmic jerking of the muscles
2. Rigid extremities lasting for several minutes
3. Brief loss of attention similar to daydreaming
4. Rigid extremities followed by rhythmic flexion
4
Rationale: Rhythmic jerking of the muscles is a myoclonic seizure.
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Mrs. D, age 77, has been recently diagnosed with type 2 diabetes mellitus. Which of the following questions by her nurse is most indicative of a holistic approach to gerontological nursing care?
A) "How do you anticipate this affecting your lifestyle and your daily routines?" B) "Would you like me to show you a few different glucometers so that you can choose one that works for you.". C) "Can I arrange for you to meet with a dietitian to go over some nutrition tips?" D) "When would be a good time for me to teach you about skin care and diabetes?"
The nurse instructs a client with Parkinson disease (PD) about carbidopa-levodopa (Sinemet). Which client statement indicates that teaching has been effective?
A) "I will take the medication with my meals." B) "I will sit up for several minutes to gain my balance before going from lying down to standing up." C) "This medication will not affect my blood pressure medications." D) "This medication will cure my Parkinson disease in time."
The nurse is caring for older patients in a long-term care facility. When ensuring for these patients' dignity, which statement reflects the role of dignity as it relates to the spiritual needs of the older adult?
A) Older adults who have lived a life of integrity and service have earned dignity. B) An acknowledgment of spiritual needs is necessary for the presence of dignity. C) Older adults may lack many of the attributes that are valued in society, but they can derive a sense of dignity from spirituality. D) Older adults who have moved successfully through Erikson's stages of development can experience dignity in spite of disability.
Family R is described by a neighbor: "The parents are not rich, but all the kids have what they need
They love to see their kids behave assertively. Everybody in that family knows where they stand. The kids have great people skills like their parents. When the mother was in the hospital, their daughter cooked the meals and their son cleaned. Sure, they have their disagreements, but they settle them without grudges.". The family can be assessed as a. enmeshed. b. fragile. c. healthy. d. schizophrenogenic.