The sudden development of paranoia in older adulthood MOST likely results from:
a. an underlying medical condition such as chronic substance use or infection
b. the process of normal aging of the central nervous system
c. sudden change in lifestyle, such as divorce or retirement, in a previously normal mind
d. previously undiagnosed paranoid schizophrenia unrelated to the personality
A
Chronic substance use or infection can be the source of a sudden development of paranoia among an older adult. Some forms of substance abuse can lead to elevated levels of paranoia. In particular individuals who abuse methamphetamines oftentimes display extremely heightened levels of paranoia, particularly when under the influence of the drug. In addition, neurosyphilis can cause paranoid delusions as well.
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A patient who is a Jehovah's Witness refuses life-saving blood or blood products and will probably die without them. What nursing intervention is the best?
a. Try to argue with the patient about his beliefs. b. Separate the patient from family, visitors, or religious leaders who support the patient's beliefs. c. Lecture the patient about the fact that these beliefs may be harmful to self and may result in death. d. Show respect for the patient's right to his own belief system. Notify the nursing supervisor and possibly obtain an ethics committee consultation.
A person who has two different alleles for a given gene is termed ____________________
Fill in the blank(s) with correct word
Which sign or symptom would lead a nurse to suspect that an older adult client is being neglected by a caregiver?
A. Injuries noted in the "bathing suit" zone of the body B. Disorientation to time, place, and person C. Excessive weight loss D. Rapid heart rate
A mother notices that her newborn is able to sleep without waking even when in the nursery with other newborns crying. The mother asks whether her baby might have a hearing problem, because her father wears hearing aids
The nurse should explain that: 1. Newborn risk factors associated with potential hearing loss do not include a family history of hearing loss. 2. Newborns cannot hear, due to mucus accumulated in the middle ear, which takes several days to drain. 3. Newborns who are asleep do not respond to loud noises that are not accompanied by vibrations. 4. Newborns in a noisy nursery are able to habituate to the sounds, and might not react unless a sound is sudden or much louder.