The nurse performs a comprehensive geriatric assessment of a patient who is being assessed for admission to an assisted living facility. Which question is the most important for the nurse to ask?
a. "Have you had any recent infections?"
b. "How frequently do you see a doctor?"
c. "Do you have a history of heart disease?"
d. "Are you able to prepare your own meals?"
ANS: D
The patient's functional abilities, rather than the presence of an acute or chronic illness, are more useful in determining how well the patient might adapt to an assisted living situation. The other questions will also provide helpful information but are not as useful in providing a basis for determining patient needs or for developing interventions for the older patient.
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A client states, "I'm sure that I am suffering from PMS. How can I get my doctor to take this seriously?" The nurse's best response is:
a. "You are probably right. You should remind your doctor of your symptoms every time you visit." b. "Since you feel certain you are right, you should just treat yourself with over-the-counter medications." c. "Men are not usually sympathetic to PMS sufferers." d. "You should keep a daily record of the occurrence and severity of your symptoms for 3 months."
A night shift nurse is calling a physician about a client?s condition. The nurse gives the physician his head-to-toe assessment. The physician becomes angry, gives orders, and hangs up on the nurse
The next day the physician reported the nurse to the unit?s nurse manager. What caused the physician to become angry? 1. The nurse called the physician in the middle of the night. 2. The nurse provided too much information. 3. The supervisor should have called the physician. 4. The nurse should have waited until the morning to notify the physician.
A long-term care resident has limited use of the right side of his body, but is coherent at intervals. If this patient develops decubiti, which factor might the facility plead to prevent liability?
1. The resident is unable to obtain proper nutrition because of his refusal to eat. 2. The resident must be confined to bed for prolonged periods of time because of his condition. 3. Nursing notes reveal that the patient is repositioned frequently, but somehow manages to return to the back-lying position. 4. Understaffing prevents the nurses from performing necessary passive range of motion exercises to the patient's affected side.
Which condition would trigger the release of natriuretic peptide (NP)?
A. Hypovolemia with interstitial edema formation B. Hypervolemia with increased venous return C. Hypernatremia secondary to dehydration D. Hyperkalemia secondary to trauma