The nurse is preparing to teach an older adult woman strategies ...

[Destiiny22]

The nurse is preparing to teach an older adult woman strategies to reduce the risk of osteoporosis. What will the nurse include as part of her teaching plan? Select all that apply.
 
  a. Begin a daily walking plan
  b. Begin to take supplemental hormones
  c. Avoid cigarette smoking
  d. Increase calcium in the diet

Question 2

The nurse has scheduled a meeting with a family to assess and assist with improving the family's communication patterns. What is of primary importance for the nurse to focus on during the assessment?
 
  a. Identifying how family decisions are made
  b. Documenting the number of family members attending the meeting
  c. Assessing for the most frequently used means of communication between family members
  d. Making careful observations of body language and nonverbal expressions during the meeting

[kescobar@64]

Answer to Question 1

A, C, D
The risk for osteoporosis increases with age and is much greater for women, in part because of their decreased bone density compared with men, hormonal changes at menopause, and inadequate calcium intake. Cigarette smoking, moderate to heavy alcohol consumption, and lack of weight-bearing exercise also increase risk. A plan to reduce risk by including walking, increasing calcium in the diet, and avoiding cigarette smoking can assist in reducing risk. There is some controversy around the use and overuse of hormone supplements and this use is not necessarily recommended.

Answer to Question 2

D
Do not rely solely on the information provided by the family members during the interview process. Families usually want to put on the best face for healthcare providers, so they may be careful to give socially desirable responses. Carefully observe the words people use and other cues involved in communication, such as body language, direct eye contact, and other nonverbal expressions particularly among family members. It is important to uncover other information such as how decisions are made within the family, what means of communication are used (telephone calls, texting, visiting), and to how much participation are family committed. These are all relevant observations for the nurse to make during a meeting, but a primary focus is on careful observation of nonverbal cues.

[Destiiny22]

Thank you!

[kescobar@64]

Always glad to help...