Mrs. D, age 77, has been recently diagnosed with type 2 diabetes ...

[ETearle]

Mrs. D, age 77, has been recently diagnosed with type 2 diabetes mellitus. Which of the following questions by her nurse is most indicative of a holistic approach to gerontological nursing care?
 
  A) How do you anticipate this affecting your lifestyle and your daily routines?
  B) Would you like me to show you a few different glucometers so that you can choose one that works for you..
  C) Can I arrange for you to meet with a dietitian to go over some nutrition tips?
  D) When would be a good time for me to teach you about skin care and diabetes?

Question 2

The nurse includes interventions to improve impaired physical activity in the plan of care for the older resident. Which of the following interventions should the nurse include? (Select all that apply.)
 
  A) Develop an exercise program that promotes maximum heart rate.
  B) Encourage family to assist in efforts to increase the patient's mobility.
  C) Include passive range of motion (PROM) in plan.
  D) Promote a nutritional intake of calcium and protein.
  E) Provide diversional activities based on the patient's interests and level of function.

[joewallace]

Answer to Question 1

A
Feedback:
Answer A addresses the impact of the diagnosis on the client's lifestyle and quality of life, concerns that are central to holistic nursing care. Answers B, C, and D address valid components of care for the client, but are less indicative of a holistic approach.

Answer to Question 2

B, D, E
Feedback:
Calcium and proteins, along with a balanced diet, will assist in the development of musculoskeletal health. The target heart rate is 65 to 80 of maximum heart rate; not all persons require PROM, but only those who are unable to move independently.

[ETearle]

Gracias!

[Alyson.hiatt@yahoo.com]

TYSM