Author Question: An older patient with chronic bronchitis is having difficulty managing periods of dyspnea and ... (Read 54 times)

jasdeep_brar · **on:** Jul 11, 2018

An older patient with chronic bronchitis is having difficulty managing periods of dyspnea and anxiety. What can the nurse do to help the patient at this time? (Select all that apply.)

A) Instruct on the disease process.
B) Discuss reducing environmental irritants.
C) Explain how to use transportable oxygen.
D) Encourage to avoid temperature extremes.
E) Recommend spending most time out of the home.

Question 2

Which of the following tasks are components of Erikson's description of the old age tasks of reconciling ego integrity with despair? Select all that apply.

A) An 80-year-old man is struggling to determine his identity apart from his lifelong career as a business leader.
B) A 79-year-old woman has established habits that promote her financial independence in spite of a lack of savings.
C) An 80-year-old man revels in his large, happy family rather than focusing on his mobility limitations resulting from Parkinson disease.
D) A 77-year-old man is trying to determine whether his life has had deep significance and meaning.

babybsemail · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A, B, C, D
Feedback:
Respiratory problems can be frightening and cause anxiety. Patients need a complete understanding of the disease to help reduce anxiety. Reducing environmental irritants could reduce the patient's symptoms. Explaining how to use transportable oxygen will increase the patient's independence. Encouraging the patient to avoid temperature extremes could help reduce the patient's symptoms. Recommending that the patient spend most time out of the home could exacerbate the patient's symptoms.

Answer to Question 2

A, C, D
Feedback:
Deriving satisfaction from oneself rather than occupational roles, finding pleasure in spite of physical limitations, and determining meaning in the life one has lived are all aspects of Erikson's outcome of ego integrity or despair. Financial independence is not a central component of this outcome.