The nurse is caring for an elderly patient with the diagnosis of ...

[nummyann]

The nurse is caring for an elderly patient with the diagnosis of urinary tract infection (UTI). The patient is confused and agitated. It is important for the nurse to realize that confusion in the elderly is
 
  a. Not a normal expectation.
  b. Purely psychological in origin.
  c. Not a common manifestation with UTIs.
  d. Acceptable and needs no further assessment.

Question 2

The nurse has elected to apply Swanson's concepts of caring. Which of the following nursing activities is an example of Swanson's enabling in the caring process?
 
  a. Staying with the client before surgery
  b. Performing a catheterization skillfully
  c. Assessing the client's health history
  d. Teaching the client how to self-inject insulin

[reversalruiz]

Answer to Question 1

A
Acute confusion in older adults is not normal; a thorough nursing assessment is the priority.
Abrupt changes in personality often have a physiological cause such as surgery, a medication reaction, a pulmonary embolus, or an acute infection. For example, the primary symptom of compromised older patients with an acute urinary tract infection or fever is confusion. Identifying confusion is an important component of the nurse's assessment.

Answer to Question 2

D
According to Swanson, enabling is defined as facilitating the other's passage through life tran-sitions (e.g., birth, death) and unfamiliar events (e.g., self-injection of insulin).
Staying with the client before surgery would be an example of Swanson's being with in the caring process.
Performing a catheterization skillfully would be an example of Swanson's doing for in the caring process.
Assessing the client's health history would be an example of Swanson's knowing in the caring process.