Which of the following is not an appropriate strategy for ...

[shenderson6]

Which of the following is not an appropriate strategy for communicating with older adults?
 
  a. Sit so that you are at eye level with the older adult
  b. Close the door to shut out background noises
  c. Listen carefully and verify older adult's statements
  d. Shout loudly

Question 2

Mary Lou Lister, 84 years old, is in the terminal stage of cancer and is having severe pain. She is restless and refuses her dose of morphine. Which of the following is an ethical approach to this problem?
 
  a. Discuss with Mary what her feelings are about the pain and the morphine
  b. Give Mary her morphine because her request may be related to delirium
  c. Call the family to ensure that Mary's choice is on her living will
  d. Withhold Mary's morphine because all residents have the right to refuse care

[lucas dlamini]

Answer to Question 1

D
Shouting is a poor communication technique because it raises the pitch and the volume of the speaker's voice. Older adults have difficulty hearing higher pitched tones. Responses A, B, and D are good strategies to promote communication.

Answer to Question 2

A
Mary's choice to refuse morphine will cause her to have increased pain. Ethically, before making a decision about Mary's care, the nurse needs to assess Mary's reasoning in her choice. Responses B, C, and D are not ethical approaches because they are not based on knowing all of the facts before intervening.