Author Question: Which of the following are included in the health history of an older adult? a. Chief complaint ... (Read 58 times)

mynx · **on:** Jul 11, 2018

Which of the following are included in the health history of an older adult?

a. Chief complaint
b. Amount of edema
c. List of medications
d. Oculomotor deficits
e. Review of the systems
f. Current nursing diagnoses

Question 2

The nurse assesses an older male adult who has Alzheimer's disease and his caregiver. Which information from the caregiver warrants further investigation by the nurse to as-sess the caregiver for strain?

a. The client wants to stay home.
b. The client sleeps on two pillows.
c. The client sits in the chair all day.
d. The client does not like to be alone.

anyusername12131 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A, C, E

a. Correct. Assessing an older adult and obtaining the health history begins with the individ-ual's description of the main reason or problem for seeking health care.
b. Incorrect. Checking for the intensity of edema is part of the physical assessment.
c. Correct. Every health history must have a list of current medications and any medications that were discontinued recently. In addition, the nurse obtains a list of all vitamins, miner-als, dietary supplements, herbal preparations, over-the-counter medications, and anything else an older adult takes on a regular basis.
d. Incorrect. Oculomotor deficits are evaluated in the physical examination.
e. Correct. A review of the systems is included in the health history. It involves asking an older adult for historical data about each major organ system in the body.
f. Incorrect. Nursing diagnoses are part of the nursing care plan. They are developed after data collection is completed and the data are organized into meaningful groups.

Answer to Question 2

D

Feedback
A Incorrect. Wanting to stay home can be managed as long as the older adult can be left alone safely or the caregiver has someone to stay with him.
B Incorrect. Sleeping on two pillows can be a preference or a requirement for living with heart failure, but it should not create undo stress.
C Incorrect. Sitting in a chair all day can be managed as long as he willing to make trips to the bathroom, go to bed at night, and so on.
D Correct. The nurse investigates the older adult's preference for continuous company because providing companionship for another person can become a source of stress. After completing an assessment of caregiver strain, the nurse can offer suggestions and provide resources for relief for the caregiver.