Biology Forums - Study Force

Which of the following statements provides the clearest justification for the performance of gerontological nursing intervention?
 
  A) The client does not possess the requisites to meet his or her needs independently.
  B) The client is deemed by health professionals, in their professional judgment, to be in a compromised health state.
  C) The client expresses a desire for assistance with self-care.
  D) The client engages in behaviors that are not compatible with good health.

Question 2

The nurse incorporates exercise in daily interactions with the residents in the Alzheimer's wing of the care facility. Which of the following interventions is appropriate to meet this goal?
 
  A) Encouraging the residents to wave their arms in greeting
  B) Setting up a weekly t'ai chi class
  C) Playing music in the exercise room
  D) Having games and therapy equipment available for use

Question 3

In which of the following situations would the care team be most likely justified in superseding the desires of the older adult client in question?
 
  A) Mrs. J persists in smoking cigarettes despite her emphysema and dependence on oxygen by nasal prongs.
  B) Mr. L is adamantly opposed to placement in a care facility, despite his progressing dementia and tendency to leave his stove turned on.
  C) Mrs. B, though denying suicidal ideation, is depressed and has cloistered herself in her apartment for many months.
  D) Mr. E, despite his family's wishes, does not want any treatment for his recently diagnosed brain tumor.

Question 4

Which findings would the nurse expect in a patient with acute pancreatitis?
 
  a. Temperature greater than 102 F (40 C)
  b. Blood pressure (systolic) greater than 130 mm Hg
  c. Heart rate less than 60 beats per minute
  d. Abdominal pain that increases with lying down

Question 5

Nurse J provides care for numerous older adult clients in the context of her work as a community health nurse.
 
  Which of her following clients is displaying a deficit in knowledge, experience, and skills that has the potential to compromise his or her health? A) A 79-year-old female client who has dysphagia (difficulty swallowing) following her recent stroke.
  B) Mrs. H, age 78, who states that she lost all hope since her husband's death 5 months prior and no longer wants to stay active.
  C) An 89-year-old man who has recently lost the ability to climb stairs due to the exacerbation of his congestive heart failure.
  D) Mr. I, recently diagnosed with diabetes, who shows an inability to manipulate his glucometer and test strips.

Question 6

Patients with hepatitis A, B, C, D, or E typically are instructed to
 
  a. drink alcohol in moderation.
  b. participate in an exercise program.
  c. eat a diet low in carbohydrates and high in fat.
  d. take vitamin B, C, and K supplements.

Answer to #1

A
Feedback:
When the older adult does not have the requisites to meet needs independently, however, nursing interventions are needed. While interventions may well be performed in situations characterized by answers B, C, and D, answer A is the broadest principle that would supersede the others cited.

Answer to #2

A
Feedback:
Some older individuals may be unable to participate in formal exercise programs. For these persons, it can be beneficial to build less aggressive exercises into their daily activities and promote maximum activity during routine care activities. For example, when greeting a patient in the hall, ask the person to raise both arms as high as possible and wave.

Answer to #3

B
Feedback:
Desires of clients may be superseded by professional judgment in actual or suspected cases of mental incompetence, of which dementia may be an example. Answers A, C, and D are examples of situations where the desires of older adults, though likely detrimental, would ultimately be respected.

Answer to #4

D
This pain is usually decreased by flexing the trunk, by leaning forward from a sitting position, or by assuming the fetal position. It is increased by eating or lying down. Low-grade fever may be present.

Answer to #5

D
Feedback:
Mr. I demonstrates an inability to perform the necessary skills for health care. Answers A and C indicate a lack of physical ability while answer B suggests a lack of desire to take action.

Answer to #6

D
If the patient is dehydrated, intravenous fluids will be given, with supplements of vitamin C for healing, vitamin B complex to assist with the damaged liver's ability to absorb fat-soluble vitamins, and vitamin K to combat prolonged coagulation time.

The fact that I can't marry you for this saddens me.

Let's keep this professional  :monkey: