An older adult female resident lowers her voice and tells the ...

[iveyjurea]

An older adult female resident lowers her voice and tells the nurse that another female resident is looking at her behind her back and is going to make her move tonight with a male staff member.
 
  Which of the following ideas should the nurse include in the response to this individual? a. The staff receives training in ethics and will not act against another resident's in-terests.
  b. Validate the woman's impression and add additional information about the other resident.
  c. Avoid suspicious, paranoid thinking because the staff and residents are trustwor-thy individuals.
  d. Tell her that the nurse will look in on her and to use the call bell if she becomes frightened.

Question 2

To avoid trauma to the mouth from hot food being served to a patient diagnosed with dementia, the nurse should:
 
  a. Set hot food aside to allow it to cool slightly.
  b. Mix the hot food item with a cold food item.
  c. Touch the food to check the temperature before serving.
  d. Request a patient menu that includes sev-eral cold foods.

[chjcharjto14]

Answer to Question 1

D

Feedback
A Incorrect. This answer sounds as if you are arguing in defense of the staff mem-ber. This does not help to alleviate the resident's fear and can lead her to suspect that the nurse is a part of the plot, too.
B Incorrect. This response contributes to the resident's suspicions; in addition, the nurse increases professional liability risks by speaking about another resident in a negative manner.
C Incorrect. This type of reproach only aggravates the struggle for control.
D Correct. This answer offers assurance to the patient that she will be protected, but it neither confirms her suspicions nor makes a promise that cannot be kept.

Answer to Question 2

A
Waiting for hot foods to cool slightly is the safest method. Foods should not be mixed so that each maintains its individual flavor. Touching contaminates the food that will be ingested by the patient. Patients have the right to choose any type of food, whether it is cold or hot.