A psychiatricmental health nurse is teaching a new nursing ...

[dalyningkenk]

A psychiatricmental health nurse is teaching a new nursing graduate about the specific skill set that nurses require to provide high-quality nursing care to older adults. Which of the following is the highest priority in this nursing role?
 
  A) Differentiating normal, age-related changes from pathologic assessment findings
  B) Teaching older adults how to accept their diminished social, economic, and family roles
  C) Adopting a problem-based approach when assessing clients who are older than age 65
  D) Deferring decision-making to younger family members while still acknowledging the older adult

Question 2

Viola is a 72-year-old woman who sees four different physicians for her medical problems: a gastroenterologist, cardiologist, a primary care physician, and a psychologist.
 
  Which of the following health promotion activities would be the highest priority for Viola?
  A) Establish one physician to oversee all medications for compatibility.
  B) Ensure that the gastroenterologist assesses Tammy's ability to absorb medications.
  C) Ensure that the psychologist is aware of over-the-counter medication taken by Tammy.
  D) Ensure the cardiologist and psychologist discuss appropriate medications for Tammy.

[ankilker]

Answer to Question 1

Ans: A
Feedback:
It is imperative for nurses to be cognizant of age-related changes when assessing older adults in an effort to differentiate expected findings from unexpected findings. A problem-oriented approach can be detrimental to empowerment. Changes in roles are expected with age, but these do not always need to be diminished roles. Decisions should not be deferred to younger family members unless there is a substantive reason for doing so.

Answer to Question 2

Ans: A
Feedback:
One of the most important aspects of a comprehensive assessment is to determine what medications clients may be using, including OTC drugs and herbal supplements. Because many clients have several different medical conditions requiring treatment, many medications often are prescribed. Problems begin when no single physician or practitioner oversees all medications for compatibility and client adherence.

[dalyningkenk]

Thank you

[ankilker]

Happy to help you