Author Question: A confused older adult patient in a skilled nursing facility was asleep when unlicensed assistive ... (Read 74 times)

sc00by25 · **on:** Jul 19, 2018

A confused older adult patient in a skilled nursing facility was asleep when unlicensed assistive personnel (UAP) entered the room quietly and touched the bed to see if it was wet. The patient awakened and hit the UAP in the face.

Which statement best explains the patient's action?

a. Older adult patients often demonstrate exaggerations of behaviors used earlier in life.
b. Crowding in skilled nursing facilities increases an individual's tendency toward violence.
c. The patient learned violent behavior by watching other patients act out.
d. The patient interpreted the UAP's behavior as potentially harmful.

Question 2

Which scenario predicts the highest risk for directing violent behavior toward others?

a. Major depression with delusions of worthlessness
b. Obsessive-compulsive disorder; performs many rituals
c. Paranoid delusions of being followed by alien monsters
d. Completed alcohol withdrawal; beginning a rehabilitation program

qytan · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

ANS: D
Confused patients are not always able to evaluate the actions of others accurately. This patient behaved as though provoked by the intrusive actions of the staff.

Answer to Question 2

ANS: C
Patients who are delusional, hyperactive, impulsive, or predisposed to irritability are at higher risk for violence. The patient in the correct response has the greatest disruption of ability to perceive reality accurately. People who feel persecuted may strike out against those believed to be persecutors. The other patients have better reality-testing ability.