Author Question: Which of the following outcomes would be the most important for an older adult who recently lost his ... (Read 33 times)

Engineer · **on:** Jul 19, 2018

Which of the following outcomes would be the most important for an older adult who recently lost his wife of 50 years after a long history of breast cancer?

1. Ability to recognize behaviors that reduce feelings of hopelessness
2. Ability to focus on specific stimuli
3. Ability to acquire, organize, and use information
4. Ability to dress self and maintain own hygiene

Question 2

The most appropriate intervention for the nurse to use when integrating cognitive behavioral approaches into therapy for clients with bulimia nervosa is:

1. Individual interventions.
2. Behavior modification.
3. Family groups.
4. Client education.

Jmfn03 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

1
Rationale: Depression, loneliness, and hopelessness are common reactions to loss; therefore, the ability to identify ways to reduce hopelessness would be the most important outcome for this client. Altered thought processes and self-care deficits would not be expected in this situation; therefore, the ability to process information or attend to stimuli would not be appropriate. Neither would the ability to dress or perform other self-care activities.

Answer to Question 2

4
Rationale: Education about the psychology of compulsive behavior and the physiologic effects of starvation and purging behaviors is usually incorporated into therapy. Cognitive behavioral education includes teaching new ways of thinking about issues, paired with new activities and behaviors to try. Behavior modification, family groups, and individual interventions may be included in client education.