Author Question: The nurse at a local health clinic is assessing an older adult male who may have broken his leg. The ... (Read 109 times)

Shelles

  • Hero Member
  • *****
  • Posts: 582
The nurse at a local health clinic is assessing an older adult male who may have broken his leg. The patient's vital signs are within normal limits. The patient is alert and oriented to time, person, and place,
 
  but reports falling off the ladder while trying to change a light bulb. The patient states, I'm just a mess. I'm no good at anything anymore. Which is the nurse likely to include as part of the assessment? Select all that apply.
  1. A sleep assessment
  2. A nutrition evaluation
  3. A depression inventory
  4. A substance abuse assessment
  5. A pulmonary assessment

Question 2

The nurse at a mental health clinic is conducting an initial assessment on a patient who has been referred by the student health center at the university the patient attends. The patient had been brought to the health center by a member of the faculty
 
  when the patient began hallucinating during class. Which factor revealed during the assessment will the nurse consider a priority for care?
  1. The patient has poor hygiene.
  2. The patient is 20 years old.
  3. The patient is single and lives off campus with a roommate who is never around.
  4. The patient's grades have plummeted this semester.



SeanoH09

  • Sr. Member
  • ****
  • Posts: 323
Answer to Question 1

Answer: 2, 3, 4
Explanation: Older adult males are one of the populations at increased risk for suicide. As an older adult male who has expressed feelings of worthlessness, this patient requires screening for depression. Older adults are at risk for poor nutrition and fluid and electrolyte imbalance, and any of these may affect mobility, so a nutrition screening and assessment of fluid and electrolyte balance would be appropriate. Substance abuse among older adults is on the rise, so a screening for substance abuse would be appropriate as substance abuse could increase the patient's risk for injury. The patient is alert and oriented, so there is no indication a mental status examination is necessary. There is no indication at this time that the patient is having trouble sleeping or that a sleep assessment is necessary.

Answer to Question 2

Answer: 3
Explanation: The single adult patient with initial onset schizophrenia with active hallucinations and/or delusions is at risk for injury due to the active state of illness and the patient's lack of knowledge about the illness. The fact that the patient lives essentially alone in an off campus apartment suggests he may have little in the way of support or observation. The patient's age, poor hygiene, and plummeting grades support the diagnosis of mental illness but are not the priority consideration in planning care.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Although puberty usually occurs in the early teenage years, the world's youngest parents were two Chinese children who had their first baby when they were 8 and 9 years of age.

Did you know?

Serum cholesterol testing in adults is recommended every 1 to 5 years. People with diabetes and a family history of high cholesterol should be tested even more frequently.

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Did you know?

More than 4.4billion prescriptions were dispensed within the United States in 2016.

Did you know?

Before a vaccine is licensed in the USA, the Food and Drug Administration (FDA) reviews it for safety and effectiveness. The CDC then reviews all studies again, as well as the American Academy of Pediatrics and the American Academy of Family Physicians. Every lot of vaccine is tested before administration to the public, and the FDA regularly inspects vaccine manufacturers' facilities.

For a complete list of videos, visit our video library