Answer to Question 1
D
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A Incorrect. Indomethacin is unsuitable for an older adult because it produces the most central nervous system effects of all nonsteroidal antiinflammatory agents.
B Incorrect. Reserpine is unsuitable for an older adult because it poses a risk of depression, sedation, and orthostatic hypotension.
C Incorrect. Chlorpheniramine and similar antihistamines are unsuitable for an older adult because of their anticholinergic properties.
D Correct. Venlafaxine, a nonselective serotonin reuptake inhibitor, is a safe anti-depressant for an older adult that is also less likely to cause sexual dysfunction than other NSSRIs.
Answer to Question 2
C
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A Incorrect. The nurse avoids confronting the elder even if done so in a gentle manner. Why questions can be interpreted as confrontational, and the elder can be unable or unwilling to articulate a reason.
B Incorrect. The nurse avoids asking club members to visit him because it removes the elder from the decision making. Although this effort can be well-meaning, it can be misinterpreted as an invasion of privacy.
C Correct. The nurse meets with the elder to determine how and when to establish new relationships and social activities in light of his wife's death. Even though the elder engaged in fishing beforehand, the nurse respects the elder's wishes and needs as he transitions to a different life.
D Incorrect. The elder is much more likely to participate in an activity in which he has input. In addition, the nurse's action can be misinterpreted as disrespectful because an adult has the right to control his own life.
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