A 93-year-old woman is seen by the nurse practitioner for a ...

[anshika]

A 93-year-old woman is seen by the nurse practitioner for a routine appointment. She is accompanied by the 74-year-old daughter. The two women live together in a house. The older woman uses a walker and wheelchair to supplement her walking as needed.
 
  The older woman needs minor assistance with her hygiene needs. The daughter is in good health and is attentive to her mother's and her own needs. Family members visit the women on a daily basis. An appropriate nursing diagnosis is
  A) risk for caregiver role strain.
  B) social isolation.
  C) coping, ineffective.
  D) self-esteem deficits.

Question 2

During a home visit an older patient who is terminally ill can no longer talk. What assessment data will the nurse use to determine if the patient is in pain?
 
  1. Cool, dry skin
  2. Moaning while being turned
  3. Cyanotic feet and lower legs
  4. Cheyne-Stokes respiratory pattern

[nmyers]

Answer to Question 1

A

Answer to Question 2

2
Rationale: Cool dry skin may be present in a dying patient but is not a symptom of unrelieved pain.