Author Question: The nurse admits an acutely ill, older patient to the hospital. Which action should the nurse take ... (Read 150 times)

awywial · **on:** Jun 25, 2018

The nurse admits an acutely ill, older patient to the hospital. Which action should the nurse take first?

a. Speak slowly and loudly while facing the patient.
b. Obtain a detailed medical history from the patient.
c. Perform the physical assessment before interviewing the patient.
d. Ask a family member to go home and retrieve the patient's cane.

Question 2

A patient who has just moved to a long-term care facility has a nursing diagnosis of relocation stress syndrome. Which action should the nurse include in the plan of care?

a. Remind the patient that making changes is usually stressful.
b. Discuss the reason for the move to the facility with the patient.
c. Restrict family visits until the patient is accustomed to the facility.
d. Have staff members write notes welcoming the patient to the facility.

billybob123 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: C
When a patient is acutely ill, the physical assessment should be accomplished first to detect any physiologic changes that require immediate action. Not all older patients have hearing deficits, and it is insensitive of the nurse to speak loudly and slowly to all older patients. To avoid tiring the patient, much of the medical history can be obtained from medical records. After the initial physical assessment to determine the patient's current condition, then the nurse could ask someone to obtain any assistive devices for the patient if applicable.

Answer to Question 2

ANS: D
Having staff members write notes will make the patient feel more welcome and comfortable at the long-term care facility. Discussing the reason for the move and reminding the patient that change is usually stressful will not decrease the patient's stress about the move. Family member visits will decrease the patient's sense of stress about the relocation.