A psychiatricmental health nurse greets a newly admitted older ...

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A psychiatricmental health nurse greets a newly admitted older adult client by saying, Hello, Bob. My name is Matt. I have to take some information from you. First, how many years young are you?
 
  Another nurse who overhears this exchange should do what?
  A) Do nothing. The technician's friendly manner will put the client at ease.
  B) Interrupt the technician to point out that he should address the client by his surname.
  C) Take the technician aside afterward to explain that his words are inadvertently disrespectful.
  D) Do nothing. Even though the technician's approach is a little too familiar, the client should be able to understand that the technician is trying to be respectful.

Question 2

A 77-year-old widow who recently moved to a retirement community with nursing care complains of often feeling nervous and having difficulty sleeping.
 
  She states that she misses her garden and her old neighbors. Which of the following nursing diagnoses is most appropriate?
  A) Ineffective Coping related to situational crisis
  B) Relocation Stress Syndrome related to isolation from friends
  C) Anxiety related to change in role status
  D) Impaired Adjustment related to multiple stressors

[mochi09]

Answer to Question 1

Ans: C
Feedback:
Nurses and other health care professionals must take care to use respectful terms when talking with or about older people, regardless of diagnosis, symptoms, or both. They must avoid the degrading terminology associated with ageism in all cases. Many of these terms can decrease feelings of self-esteem, thus contributing to depression in older people.

Answer to Question 2

Ans: B
Feedback:
Giving up their homes and moving into a long-term care facility (eg, nursing home) is a transition for many older people. Some view moving to such facilities as a sign of relinquishing independence and assuming a dependent role. They may have difficulty coping with lost freedom. Some clients suffer from related depression.