After 5 years in a state hospital, an adult diagnosed with ...

[lunatika]

After 5 years in a state hospital, an adult diagnosed with schizophrenia was discharged to the community. This patient now requires persistent direction to accomplish activities of daily living and expects others to provide meals and do laundry.
 
  The nurse assesses this behavior as the probable result of:
 
  a. side effects of antipsychotic medications.
  b. dependency caused by institutionalizatio n.
  c. cognitive deterioration from schizophrenia.
  d. stress associated with acclimation to the community.

Question 2

Which beliefs by a nurse facilitate provision of safe, effective care for older adult patients? Select all that apply.
 
  a. Sexual interest declines with aging.
  b. Older adults are able to learn new tasks.
  c. Aging results in a decline in restorative sleep.
  d. Older adults are prone to become crime victims.
  e. Older adults are usually lonely and socially isolated.

[AaaA]

Answer to Question 1

ANS: B
Institutions tend to impede independent functioning; for example, daily activities are planned and directed by staff; others provide meals and only at set times. Over time, patients become dependent on the institution to meet their needs and adapt to being cared for rather than caring for themselves. When these patients return to the community, many continue to demonstrate passive behaviors despite efforts to promote. Cognitive dysfunction and antipsychotic side effects can make planning and carrying out activities more difficult, but the question is more suggestive of adjustment to institutional care and difficulty readjusting to independence instead.

Answer to Question 2

ANS: B, C, D
Myths about aging are common and can negatively impact the quality of care older patients receive. Older individuals are more prone to become crime victims. A decline in restorative sleep occurs as one ages. Learning continues long into life. These factors affect care delivery.

[lunatika]

Correct answers!

[AaaA]

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