The nurse performs a comprehensive geriatric assessment of a ...

[jhjkgdfhk]

The nurse performs a comprehensive geriatric assessment of a patient who is being assessed for admission to an assisted living facility. Which question is the most important for the nurse to ask?
 
  a. Have you had any recent infections?
  b. How frequently do you see a doctor?
  c. Do you have a history of heart disease?
  d. Are you able to prepare your own meals?

Question 2

When caring for an older patient with hypertension who has been hospitalized after a transient ischemic (TIA), which topic is the most important for the nurse to include in the discharge teaching?
 
  a. Effect of atherosclerosis on blood vessels
  b. Mechanism of action of anticoagulant drug therapy
  c. Symptoms indicating that the patient should contact the health care provider
  d. Impact of the patient's family history on likelihood of developing a serious stroke

[ankilker]

Answer to Question 1

ANS: D
The patient's functional abilities, rather than the presence of an acute or chronic illness, are more useful in determining how well the patient might adapt to an assisted living situation. The other questions will also provide helpful information but are not as useful in providing a basis for determining patient needs or for developing interventions for the older patient.

Answer to Question 2

ANS: C
One of the tasks for patients with chronic illnesses is to prevent and manage a crisis. The patient needs instruction on recognition of symptoms of hypertension and TIA and appropriate actions to take if these symptoms occur. The other information also may be included in patient teaching but is not as essential in the patient's self-management of the illness.

[jhjkgdfhk]

Thank you

[ankilker]

No problemo