The nurse is assigned to a 52-year-old male patient. He is ...

[joe]

The nurse is assigned to a 52-year-old male patient. He is talkative and usually friendly when the nurse enters his room. Today, however, he is standing at the mirror and says: I lost my job because the company downsized, there isn't anything I can do.
 
  As his caregiver, the nurse recognizes this expression of concern is related to which of the following?
 
  A) He assumes the termination is his fault.
  B) Dissatisfaction with changes in his appearance and energy levels.
  C) His career goals and retirement plans are compromised.
  D) He is in an androgenic crisis.

Question 2

A nurse who provides care in a long-term care facility recognizes the need to promote health rather than solely treating illness. Which of the following measures should the nurse encourage among the older adult resident population of the facility?
 
  Select all that apply.
 
  A) Encourage frequent naps in order to ensure adequate sleep and rest.
  B) Encourage residents to take dietary supplements when safe.
  C) Conduct activities at a slower pace and allow residents time to respond.
  D) Encourage residents to engage in the present rather than perform reminiscence.
  E) Promote self-care and only assist residents when it is necessary.

[ngr69]

Answer to Question 1

Ans: C

The loss of his employment is a major change that disrupts his life-long goals. The middle adult is becoming aware of physical changes and limited time to live. This situation is not a hormonal crisis, and although the patient may feel the job loss is his fault, that is not what he expressed.

Answer to Question 2

Ans: B, C, E

Dietary supplements are appropriate and conducive to health, provided safety has been considered. It is appropriate to conduct activities at a somewhat slower pace with older adults, since a mild slowing of cognitive and neurological function is a recognized phenomenon that is considered normal. Self-care should be fostered and assistance provided when necessary. Frequent naps are counterproductive to healthy sleeping and waking cycles. Reminiscence is a healthy and important process and it does not preclude engagement with the present.

[joe]

TYSM

[bdobbins]

Excellent