After completing an admission assessment on a patient who ...

[imanialler]

After completing an admission assessment on a patient who recently suffered a stroke, the nurse should choose which of the following nursing diagnoses as a priority?
 
  a. Risk for inury c. Altered cerebral perfusion
  b. Altered thought process d. Decreased mobility

Question 2

Which statement is true about social and emotional health of older adults?
 
  a. Contemporary society has strong norms for the behavior of adults older than 80 years.
  b. The transition to old age entails a declining level of contribution to others as one becomes increasingly dependent on them.
  c. Computers and the Internet have little to contribute to elders in their need for so-cial support.
  d. Nurses are often significant sources of social and emotional support for older adults.

[Harbringer]

Answer to Question 1

C
Altered cerebral perfusion is the priority diagnosis. Altered cerebral perfusion may be caused by an interruption in blood flow such as occlusive disorder, hemorrhage, cerebral vasospasm, or ce-rebral edema. It is important for the nurse to monitor cognitive status and vitals for patients ex-periencing altered cerebral perfusion. The patient is at risk for injury due to the effects of the stroke, however it is not the priority diagnosis. This patient may suffer from altered thought processes due to cerebral damage from the stroke; however, this is not the priority diagnosis. This patient may experience a decrease in mobility such as hemiparesis; however, it is not the priority diagnosis.

Answer to Question 2

D

Feedback
A Incorrect. The diversity of cultures and individuals in a society like the United States means that norms are almost nonexistent for persons older than 80 years.
B Incorrect. Elders have a great deal to contribute in wisdom and by example.
C Incorrect. E-mail and online chat rooms are a means of contact and social sup-port for many elders.
D Correct. Nurses are often important confidants and providers of social support in the lives of elders.

[imanialler]

Excellent

[bigsis44]

TYSM