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Author Question: A 75-year-old patient comes to the clinic reporting frequent headaches. As the nurse begins the ... (Read 78 times)

khang

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A 75-year-old patient comes to the clinic reporting frequent headaches. As the nurse begins the interaction, which action is most important?
 
  a. Complete a neurological assessment.
  b. Determine whether the patient can hear as the nurse speaks.
  c. Suggest that the patient lie down in a darkened room for a few minutes.
  d. Administer medication to relieve the patient's pain before continuing the assessment.

Question 2

Which information is most important to obtain during assessment of an older adult diagnosed with a mental disorder?
 
  a. Functional ability and emotional status
  b. Chronological age and sexual function
  c. Economic status and sources of income
  d. Developmental history, interests, and activities



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ju

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Answer to Question 1

ANS: B
Before proceeding with any further assessment, the nurse should assess the patient's ability to hear questions. Impaired hearing could lead to inaccurate answers.

Answer to Question 2

ANS: A
Information related to functional ability and emotional status provides an overview of patient problems and abilities. It guides selection of interventions and services to meet identified needs. The distracters reflect information of relevance, but are not of highest priority.




ju

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