After nearly 50 years of living in the same house, health ...

[Beheh]

After nearly 50 years of living in the same house, health declines and the recent death of her husband have forced an 82-year-old woman to move to a long-term care facility.
 
  Which of the following nursing diagnoses are plausible when the nurse is admitting, assessing, and planning the care of this client? (Select all that apply.)
 
  A) Risk for Relocation Stress related to new living environment
  B) Anxiety related to change in environment
  C) Risk for Loneliness related to recent death of spouse
  D) Disturbed Sleep Pattern related to change in living environment
  E) Powerlessness related to unmet dependency needs secondary to death of spouse

Question 2

The nurse recognizes the high incidence and prevalence of polypharmacy among older adults. Which of the following measures should the nurse take to prevent and resolve polypharmacy among these clients?
 
  A) Encouraging clients' physicians and pharmacists to carefully review clients' medication administration records to identify potential interactions
  B) Instructing older adults to ensure that at least 2 hours elapse between taking each of their medications
  C) Teaching older adults to ensure that they have all of their prescriptions filled at only one pharmacy
  D) Informing clients that they should temporarily withhold their medications if they experience side effects

[bdobbins]

Answer to Question 1

Ans: A, B, C, D, E
Relocating to a new living environment can be a profoundly difficult and stressful event for older adults that may entail numerous nursing diagnoses.

Answer to Question 2

Ans: A
Close monitoring of a client's medication regimen can help identify and/or prevent polypharmacy in many older adults. It would be inappropriate for a nurse to independently assign a particular schedule of administration or to tell clients to hold their medications if they experience side effects. It is prudent for clients to use one, rather than several, pharmacy, but this practice is not the essence of polypharmacy.

[Beheh]

Excellent

[ryhom]

TYSM