Author Question: The nurse plans the care for an older man who has Medicare, lives on Social Security and a small ... (Read 74 times)

jman1234 · **on:** Jul 11, 2018

The nurse plans the care for an older man who has Medicare, lives on Social Security and a small pension, and has type 2 diabetes mellitus.

Which aspect(s) of this man should the nurse integrate into a positive approach to his health and well-being? (Select all that apply.) a. Pays for some diabetic supplies.
b. Enjoys regular physical activity.
c. Practices effective glucose control.
d. Lives alone in a high-rise apartment.
e. Lacks low-cost, reliable transportation.
f. Attends weekly dinner club for diabetics.

Question 2

An older female adult has severe osteoporosis in long bones, impaired mobility, and chronic pain. Which acute illness or condition is this woman most likely to experience as a result of osteoporosis?

a. Peripheral neuropathy
b. Chronic stable depression
c. Intertrochanteric fracture
d. Opioid analgesic addiction

b614102004 · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

B, C, F
The enjoyment of physical activity is a positive aspect of this man and thus can be included in the nurse's plan because he already incorporates an important part of diabetic care into his life and, potentially, enjoys the health benefits of exercise. Practicing effective glucose control de-monstrates this man's resilience and capacity to manage effectively the challenges associated with a chronic illness and thus is a strength the nurse can use in a positive approach toward his health and well-being. This man has a social network that helps him to live with diabetes and to prevent the long-term complications of diabetes. This is a definite strength the nurse uses to help him achieve his optimal health and well-being.
With limited financial resources, paying for some of his diabetic supplies is a burden to overcome and cannot be used in a positive approach toward health and well-being. Living alone is not ideal for an older adult, especially one with diabetes, because of the potential for loneliness and complications from diabetes such as hypoglycemia. Living alone is a negative aspect of this man's life and one which has to be resolved for his safety and well-being. The nurse cannot in-clude this man's transportation issues into a positive plan; the lack of reliable transportation is a problem to overcome and not a strength on which to capitalize.

Answer to Question 2

B

Feedback
A Incorrect. This woman has no predictive indicators for a peripheral neuropathy.
B Correct. Chronic pain is more likely to cause depression than the osteoporosis.
C Incorrect. A hip fracture from the greater to the lesser trochanter because of os-teoporosis is the most likely acute condition this older adult will face, because osteoporosis commonly attacks long bones and the proximal end of the femur in particular. As a result, the older female adult is more likely to fracture her hip and then fall than to fall and cause a hip fracture.
D Incorrect. Research data support the claim that individuals with real pain have a low risk of dependency.