Nokea
A 90-year-old patient tells the nurse that he is unable to remember the names of the medications he is taking or what they are for. An appropriate response would be:
- A. "Can you tell me what they look like?"
- B. "Don't worry about it. You are only taking two."
- C. "How long have you been taking each of these pills?"
- D. "Would you ask your family to bring in your medications?"
Correct Answer: D
Rationale: The correct answer is D because asking the patient's family to bring in the medications will ensure accurate identification and understanding of the medications. This step is crucial in ensuring the patient's safety and well-being. Choice A is incorrect as appearance alone may not provide accurate information. Choice B is dismissive and does not address the issue. Choice C focuses on duration rather than addressing the immediate concern of medication identification.
You may also like to solve these questions
Which of the following questions would best assess a person's judgement?
- A. Do you feel that you are being watched, followed, or controlled?
- B. Tell me about what you plan to do once you are discharged from the hospital.
- C. What does the saying, "People in glass houses shouldn't throw stones' mean to you?
- D. What would you do if you found a stamped, addressed envelope on the sidewalk?
Correct Answer: B
Rationale: The correct answer is B because asking about future plans post-hospital discharge assesses judgment by evaluating the individual's ability to make considered decisions and anticipate consequences. Choice A focuses on paranoia, not judgment. Choice C assesses interpretation skills, not judgment. Choice D evaluates honesty or ethics, not judgment. Therefore, B is the best choice for assessing judgment.
The nurse is assessing a 75-year-old male patient. At the beginning of the mental status portion of the assessment, the nurse expects that this patient:
- A. Will have no decrease in any of his abilities, including response time.
- B. Will have difficulty on tests of remote memory because this typically decreases with age.
- C. May take a little longer to respond, but his general knowledge and abilities should not have declined.
- D. Will have had a decrease in his response time because of language loss and a decrease in general knowledge.
Correct Answer: C
Rationale: Rationale for Correct Answer C:
- As individuals age, it is normal to experience a slight decline in cognitive abilities, such as response time.
- However, general knowledge and abilities are usually well-preserved in older adults.
- It is expected that the 75-year-old patient may take a little longer to respond due to age-related changes but should not have a significant decline in general knowledge.
Summary of Incorrect Choices:
- Choice A is incorrect because it is unrealistic to expect no decrease in any abilities with age.
- Choice B is incorrect because while remote memory may decline with age, it is not a universal expectation for all older adults.
- Choice D is incorrect as it inaccurately attributes language loss and a decrease in general knowledge to all older adults.
A nurse is teaching a patient with asthma about proper inhaler use. Which of the following statements by the patient indicates the need for further education?
- A. I should hold my breath for 10 seconds after inhaling the medication.
- B. I should use my inhaler before exercise to prevent symptoms.
- C. I can use my inhaler every 30 minutes if I have trouble breathing.
- D. I should rinse my mouth after using my inhaler to prevent thrush.
Correct Answer: C
Rationale: The correct answer is C because using the inhaler every 30 minutes for trouble breathing is not recommended. Overuse can lead to medication side effects and potential worsening of symptoms.
A: Holding breath after inhaling helps medication reach lungs.
B: Using inhaler before exercise can prevent exercise-induced symptoms.
D: Rinsing mouth prevents thrush, a common side effect of inhaled corticosteroids.
Which of the following responses might the nurse expect during the functional assessment of a patient whose leg is in a cast?
- A. "I broke my right leg in a car accident 2 weeks ago."
- B. "The pain is getting less, but I still need to take Tylenol."
- C. "I check the colour of my toes every evening just like I was taught."
- D. "I'm able to transfer myself from the wheelchair to the bed without help."
Correct Answer: D
Rationale: The correct answer is D because the nurse would expect the patient to demonstrate functional independence in activities like transferring from a wheelchair to the bed despite having a leg in a cast. This response indicates good mobility and strength, which are positive signs of recovery. Choices A, B, and C are incorrect as they do not directly address the functional assessment of the patient. Choice A provides historical information, choice B focuses on pain management, and choice C mentions a self-care routine that is not related to functional ability.
A 75-year-old woman is at the clinic for a preoperative interview. The nurse is aware that the interview with her may take longer than interviews with younger persons. What is the reason for this?
- A. An older adult has a longer story to tell.
- B. An older adult is usually lonely and likes to have someone to talk to.
- C. Older adults lose much of their mental abilities and require more time to complete an interview.
- D. As a person ages, he or she is unable to hear well, so interviewers usually need to frequently repeat what they say.
Correct Answer: A
Rationale: The correct answer is A because as people age, they accumulate more life experiences, medical history, and details to share. This can lead to longer conversations during interviews. Choice B is incorrect as not all older adults are lonely and seek conversation. Choice C is incorrect because aging does not necessarily equate to a loss of mental abilities. Choice D is incorrect as hearing loss is not a universal issue among older adults and does not significantly impact the length of interviews.