Author Question: The nurse recognizes that the older adult patient's tendency to take smaller steps with feet kept ... (Read 76 times)

Tirant22

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The nurse recognizes that the older adult patient's tendency to take smaller steps with feet kept closer together will most likely result in which one of the following?
 
  a. It will increase the patient's risk of injury resulting from falls.
  b. It will result in less stress on the patient's knees, hips, and ankles.
  c. It will decrease the amount of energy the patient expends on movement.
  d. It will allow for mobility despite the effects of aging on the patient's joints.

Question 2

The husband of a patient with terminal cancer has expressed a high degree of stress over his role as caregiver. When asked whether he has suicidal or homicidal thoughts, he answers, Sometimes.
 
   Which of the following statements by the nurse is most therapeutic initially? a. What is the hardest part about your wife's impending death?
  b. Can you describe your plan for killing yourself and your wife?
  c. What can I do to help make caring for your wife less stressful?
  d. Can you tell me how caring for your wife has affected you personally?



Yixagurpuldink

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Answer to Question 1

A

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A The older adult patient may take smaller steps, keeping the feet closer together, which decreases the base of support. Thus, body balance is unstable, and the older adult is at greater risk for falls and injuries.
B This tendency may not necessarily result in less stress on the patient's knees, hips, and ankles.
C This tendency may not necessarily decrease the amount of energy the patient expends on movement.
D This tendency may not necessarily allow for mobility despite the effects of aging on the patient's joints.

Answer to Question 2

B

Feedback
A The question What is the hardest part about your wife's impending death? is appropriate but only after safety issues have been addressed.
B If the patient indicates suicidal or homicidal ideations, the nurse must calmly determine if the person has a plan and how lethal the means are.
C The question, What can I do to help make caring for your wife less stressful? is appropriate to assist with problem solving once safety issues have been addressed.
D The question, Can you tell me how caring for your wife has affected you personally? is appropriate to assist with problem solving once safety issues have been addressed.



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