An older client in an adult day care program tells the nurse, I'm ...

[dbose]

An older client in an adult day care program tells the nurse, I'm very stressed because another neighbor passed away. The most therapeutic response by the nurse is:
 
  a. What do you mean by stressed'?
  b. Tell me what you did when your other neighbor passed away.
  c. Are you worrying about your own death?
  d. Let's get involved in some activities and not think about sad things.

Question 2

A nurse administers the Short Michigan Alcohol Screening Test Geriatric Version (S-MAST-G) to an older adult. The older adult receives a score of 2. The nurse knows that this score is in-dicative of:
 
  a. no problem with alcohol.
  b. a problem with alcohol.
  c. a mild problem with alcohol.
  d. a severe problem with alcohol.

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Answer to Question 1

ANS: B
Application of what one has learned from previous situations can help dissipate the intensity of stress. Denial of the stressful event and focusing upon blessings or happiness will not lessen the stress and may in turn intensify it. While it is appropriate to ask the client to clarify what he or she is saying, it doesn't help in this situation. This is not necessarily the time to initiate a conver-sation about the client's feelings about death since doing so is likely to increase the level of stress.

Answer to Question 2

ANS: B
A score of 2 or more on the S-MAST-G indicates that there is an alcohol problem. This scale does not rate the severity of the problem.

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