To help older adults maintain a healthy mental state, the nurse ...

[penza]

To help older adults maintain a healthy mental state, the nurse plans activities at a com-munity center to promote the developmental stages of older adulthood. Which nursing intervention is suitable for the nurse's plan?
 
  a. Screen for communicable diseases common among older adults.
  b. Participate at a soup kitchen for other people who are homeless.
  c. Plan a safety program about falls, fire safety, and home security.
  d. Have speakers emphasize the need for isolated self-exploration.

Question 2

Which medication(s) affect appetite and nutrition in the older adult? (Select all that apply.)
 
  a. Digoxin
  b. Theophylline
  c. Iron supplements
  d. Aspirin
  e. Phenergan

[josephsuarez]

Answer to Question 1

B

Feedback
A Incorrect. Screening for communicable diseases can help to maintain a healthy mental outlook by avoiding major illnesses and the consequences of those ill-nesses that can lead to depression and anxiety; however, this is unrelated to tasks associated with Erikson's stages of development.
B Correct. Erikson's developmental stages for older adulthood include generativi-ty, the concern for the establishment and guidance of the next generation. The nurse helps older adults accomplish this task by organizing their participation at a soup kitchen because socially valued work is a method of expressing genera-tivity. This activity is likely to improve an older adult's self-concept because it demonstrates that the individual is able to extend the self for the benefit of oth-ers.
C Incorrect. Planning a safety program helps to instill peace of mind and to prevent injury but is unrelated to stages of development.
D Incorrect. Promoting isolated self-exploration is counterintuitive to Erikson's stages of intimacy versus isolation.

Answer to Question 2

A, B, C, D
Many medications affect appetite and nutrition, including digoxin, theophylline, nonsteroidal antiinflammatory drugs (NSAIDs), iron supplements, antidepressants, and psychotropic medica-tions. Clinically significant drug-nutrients interactions can result in nutrient loss, and evidence is accumulating that shows the use of nutritional supplements may counteract these possible drug-induced nutrient depletions. A thorough medication review is an essential component of nutritional assessment, and individuals should receive education about the effects of prescription medications, as well as herbals and supplements, on their nutritional status.

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[nothere]

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