The nurse identifies the older adult patient at the greatest risk ...

[burton19126]

The nurse identifies the older adult patient at the greatest risk for a fall-related injury as the
 
  a. male with a history of a vitamin deficien-cy.
  b. female with a diagnosis of osteoporosis.
  c. male with a cognitive deficient.
  d. female with a history of depression.

Question 2

Upon entering the room of a cognitively impaired older adult patient, the nurse observes that he is exposed and rubbing his genitals. The nurse's initial concern is to
 
  a. alert staff to be aware of this new beha-vior.
  b. provide the patient with privacy.
  c. assess him for possible pain and fever.
  d. provide a verbal cue for him to stop the behavior.

[dreamfighter72]

Answer to Question 1

B
Serious injury from falling is more likely to occur among those with osteoporosis.

Answer to Question 2

C
Dementia may result in unmet sexual needs resulting in such behavior; however, this behavior may also indicate pain, hyperthermia, or the need to be freed from a restrained situation. Later the nurse can inform staff of the behavior, particularly if it is a new behavior, and ensure the pa-tient has privacy. There is no need to cue the patient to stop this behavior as long as it is done in a private setting.

[burton19126]

TY

[dreamfighter72]

Happy to Help