An older adult client has been voluntarily admitted for treatment ...

[sjones]

An older adult client has been voluntarily admitted for treatment of alcohol dependency. In im-plementing care, the nurse plans which intervention based upon knowledge about alcohol and aging?
 
  a. Assessing the client for both depression and anxiety
  b. Discussing the poor prognosis of this dis-order with the client
  c. Explaining the need for proper nutrition to minimize the effects of alcoholism
  d. Identifying the effects of chronic alcohol-ism on the human body

Question 2

A nurse is caring for an older adult with cognitive impairment who recently had hip surgery. The nurse assesses the client for pain. The nurse would suspect that the client is in pain when the cli-ent demonstrates which of the following?
 
  (Select all that apply.)
  a. The client ate all of her meals.
  b. The client pushes caregivers away when they attempt to change the dressing on her hip.
  c. The client rocks back and forth repetitive-ly when sitting in a chair.
  d. The client sleeps soundly throughout the night.
  e. The client cries out repeatedly when any-one approaches her.

[ngr69]

Answer to Question 1

ANS: A
Substance abuse in older adults is frequently a coping mechanism to deal with loss, anxiety, or depression. There is no evidence about the success or lack of success of treatment programs for older adults because they have not been adequately investigated. Nutritional counseling and the discussion of the long-term effects of alcoholism may be appropriate but not specific to the older adult client.

Answer to Question 2

ANS: B, C, E
Pain cues in people with communication difficulties involve changes in behavior including rest-lessness, resistance to care, repetitive movements, and vocalizations. Other cues include sleep-lessness and decreased appetite.