Author Question: A recent graduate nurse has been assigned to be a primary nurse on a geriatric unit. After ... (Read 74 times)

cmoore54 · **on:** Jul 22, 2018

A recent graduate nurse has been assigned to be a primary nurse on a geriatric unit. After completing a review of development and aging, the nurse recalls that changes during the climac-teric signify which of the following?

a. A characteristic of young adulthood
b. The increased reproductive ability of the older adult
c. A time of significant change in cognitive performance in middle age
d. A decline of reproductive capacity caused by a decrease in sexual hormones

Question 2

A student nurse is administering an enema with an instructor in the room. The patient states that he or she can no longer hold the enema solution.

The student nurse acknowledges the patient's request and begins to tell the patient to go to the bathroom but asks the instructor if this is OK. The instructor suggests that the patient wait a few minutes to give the enema solution time to be absorbed into the bowel. In this situation the student nurse demonstrates what level of critical thinking according to Kataoka-Yahiro and Saylor's model? a. Level 1: Basic
b. Level 2: Complex
c. Level 3: Commitment
d. Level 4: Expert

ecabral0 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
Climacteric is a term used to describe the decline of reproductive capacity and accompanying changes brought about by the decrease in sexual hormones. This affects men and women diffe-rently. Men begin to experience decreased fertility, but they are able to continue to father child-ren. Menopause, when a woman stops ovulating and menstruating, occurs only when 12 months have passed since the last menstrual flow. Climacteric is a characteristic of middle adulthood usually referring to those years between 40 and 65 . Changes in the cognitive function of mid-dle-age adults are few except during illness or trauma.

Answer to Question 2

A
The student nurse is at the basic level because he or she asked the instructor what to do. At the basic level of critical thinking a learner trusts that experts have the right answers for every prob-lem. Thinking is concrete and based on a set of rules or principles. Complex critical thinkers begin to separate themselves from experts. In complex critical thinking you learn to synthesize knowledge. This means that you develop a new thought or idea based on your experience and knowledge over time. The third level of critical thinking is commitment. You anticipate the need to make choices without assistance from others. You accept accountability for whatever deci-sions you make. There is no level 4 in this model.