Author Question: The nurse is caring for a confused patient. Which action by the nurse shows the best understand-ing ... (Read 22 times)

shenderson6 · **on:** Jul 11, 2018

The nurse is caring for a confused patient. Which action by the nurse shows the best understand-ing of managing the cascading effects of iatrogenic illnesses in this population cohort?

a. Reorienting the patient to person, place, and time frequently
b. Offering the patient liquids each time there is patient-nurse contact
c. Repositioning the patient every 2 hours
d. Using restraints to ensure patient safety only as a last resort

Question 2

What does the nurse working with older adults from many different cultures know about the demographics of culture in the United States? (Select all that apply.)

a. Hispanics will become the largest minority group by 2030.
b. Many persons of color are not counted in the census.
c. The percentage of Native Ameri-cans/Native Alaskans will decrease.
d. The number of refugees and immigrants is expected to decrease.
e. Some Native Americans want to identify as specific tribal members.

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

Answer to Question 1

D
Once older adults are hospitalized, immobilization through enforced bed rest or restraint often results in functional disability, and the subsequent occurrence of iatrogenic illnesses often represents a vicious circle, referred to as the cascade effect, in which one problem increases the person's vulnerability to another one. Gerontologic nurses must be leaders in advocating more appropriate care and treatment of hospitalized older adults to prevent or at least reduce the oc-currence of iatrogenic illness. The other actions are good nursing care but do not relate to the cascade effect.

Answer to Question 2

A, B, C
Hispanics are expected to be the largest minority group in the United States by 2030 . Many persons of color are not represented in the census, and this underestimates their presence. The percentage of Native Alaskans and Native Americans will rise, as will the number of immi-grants/refugees. Some Native Americans may not view themselves as part of this larger group, preferring to identify as a member of a specific tribe.