Nokea
Which is the best statement for a nurse to use when beginning an interview with an older adult patient?
- A. Hello, [call patient by first name]. I am going to ask you some questions to get to know you better.'
- B. Hello. My name is [nurse's name]. I am a nurse. Please tell me how you would like to be addressed by the staff.'
- C. I am going to ask you some questions about yourself. I would like to call you by your first name if you don't mind.'
- D. You look as though you are comfortable and ready to participate in an admission interview. Shall we get started?'
Correct Answer: B
Rationale: The correct response identifies the nurse's role and politely seeks direction for addressing the patient in a way that will make him or her comfortable. This is particularly important when a considerable age difference exists between the nurse and the patient.
You may also like to solve these questions
Which statement about aging provides the best rationale for focused assessment of older adult patients?
- A. Older adults are often socially isolated and lonely.
- B. As people age, they become more rigid in their thinking.
- C. The majority of older adults sleep more than 12 hours per day.
- D. The senses of vision, hearing, touch, taste, and smell decline with age.
Correct Answer: D
Rationale: Only the correct answer is true and cues the nurse to assess carefully the sensory functions of the older adult patient. The incorrect options are myths about aging.
A nurse leads a staff development session about ageism among health care workers. What information should the nurse include about the consequences of ageism?
- A. Failure of older adults to receive necessary medical information
- B. Development of public policy that favors programs for older adults
- C. Staff shortages because caregivers prefer working with younger adults
- D. Perception that older adults consume a small share of medical resources
- E. More ancillary than professional personnel discriminate with regard to age
Correct Answer: A,C
Rationale: Because of society's negative stereotyping of older adults, some staff avoid working with them, leading to staff shortages, and older adults often receive less information about their conditions.
A nurse caring for an older adult patient population should be familiar with which legal and ethical issues that are common concerns for this group?
- A. Physical abuse
- B. Autonomous decision making
- C. Emotional abuse
- D. Financial abuse
- E. Need for medication therapy
Correct Answer: A,C
Rationale: Among the most important legal and ethical issues are decision-making about health care and various forms of elder abuse, including physical and emotional abuse.
If an older adult patient must be physically restrained, who is responsible for the patient's safety?
- A. Nurse assigned to care for the patient.
- B. Nursing assistant who applies the restraint.
- C. Health care provider who ordered the application of the restraint.
- D. Family member who agrees to the application of the restraint.
Correct Answer: A
Rationale: The nurse caring for the patient is responsible for the safe application of restraining devices and for providing safe care while the patient is restrained.
A 75-year-old patient comes to the clinic reporting frequent headaches. After an introduction at the beginning of the interview, what should the nurse address?
- A. Initiate a neurological assessment.
- B. Assess if the patient can hear the spoken word clearly.
- C. Suggest that the patient lie down in a darkened room to rest.
- D. Administer medication to relieve the patient's pain prior to the assessment.
Correct Answer: B
Rationale: Before proceeding, the nurse should assess the patient's ability to hear questions. Hearing ability often declines with age. Impaired hearing could lead to inaccurate answers.