Homework Clinic
Hands-on Clinic => Nursing and Clinical => Topic started by: jho37 on Jul 11, 2018
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Which is a true statement about suicide among older adults?
a. Older adults and young adults manifest suicidal intent in similar manners.
b. Older female adults who are African American have the highest risk of suicide among elders.
c. Ethics require that the nurse respects a person's intent to terminate his or her own life.
d. A therapist's hopelessness or desire to drop a patient from therapy can contribute to the risk of suicide.
Question 2
An older adult who has Alzheimer disease exhibits new behaviors including shouting in the hallways and hallucinations.
Rank the following nursing interventions in order, beginning with the first intervention the nurse should implement in response to the new behavior. A. Review the medication list for potential causes. B. Plan nursing care to promote a trusting relationship. C. Look for the likely causes for psychotic manifestations. D. Consult with her health care provider about medications.
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Answer to Question 1
D
Feedback
A Incorrect. Putting personal affairs in order, distributing possessions, making a will, or saying something like I won't be around much longer can indicate a risk for suicide in a young person but can be a rational and mature act in old age.
B Incorrect. Men in all countries have a higher suicide rate, and white men are more likely to evaluate their worth solely in terms of present economic produc-tivity.
C Incorrect. Health care professionals are obligated to prevent the destruction of life as a permanent solution to a problem.
D Correct. Patients can be very sensitive to nonverbal cues from the therapist.
Answer to Question 2
C, A, B, D
The nurse's first task is to identify the likely causes of psychotic behaviors to provide a frame-work for planning suitable nursing interventions. Second, as a potential cause of the new beha-viors, the nurse reviews the medication list and looks for new medications, missed or increased doses, polypharmacy, and medications likely to cause psychotic behavior. Third, after identifying possible pharmacological reasons, the nurse consults with the health care provider to consider adjustments to the pharmacotherapy. Finally, to supplement the removal of offending medica-tions, the nurse promotes a trusting relationship with the older adult by expressing respect and concern.
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Correct answers!
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Great! Please up vote :D