An older adult patient has been approached to participate in a research study. The nurse best advocates for the patient's right of self-determination by
a. evaluating the patient's cognitive ability to understand the consequence of the study.
b. determining what risks to the patient are involved.
c. discussing the importance of the study with the patient and his family.
d. encouraging the patient to discuss the de-cision with trusted family or friends.
Question 2A Hispanic patient explains that the Hispanic culture believes that dietary management would be just as effective in managing her problems as medication, so the patient's prescription has not been filled
Which action by the nurse illustrates cultural accommodation?
a. Asking the patient to give more details regarding this belief
b. Discussing how to add dietary preferences into the treatment plan
c. Offering to have a registered nutritionist discuss the situation with the patient
d. Researching the patient's proposed dietary beliefs
Question 3The nurse most effectively implements guided reminiscence during a patient interview by
a. reminding the patient to share important memories of the past.
b. scheduling several short interviews rather than one long one.
c. controlling the interview by selecting the memories to be discussed.
d. encouraging the patient to relive his or her memories while maintaining focus.
Question 4A nurse is caring for an older patient who is sedentary and does not want to participate in any activities. What action by the nurse is best?
a. Inform the patient about the consequences of immobility.
b. Promote activity by explaining the use it or lose it concept.
c. Tell the patient he or she will feel better by being more active.
d. Explain the relationship of being active and being independent.
Question 5A nurse aide working in the geriatric unit's dining room tells the nurse that a patient who was oriented to time and place this morning is now confused about what day it is and why she's here. The nurse appropriately directs the nurse aide to
a. take the patient back to her room and put her safely in bed.
b. place a falls risk identification bracelet on the patient and add the status care plan.
c. immediately take the patient's vital signs and report them to her.
d. reorient the patient to time and place fre-quently and document the patient's re-sponse.
Question 6A nurse assesses an older patient who has lost a great deal of weight in a short time
When asked, the patient states this behavior started after the patient read a magazine article on the benefits of extreme caloric restrictions. What response by the nurse is best?
a. That research was done on rodents and not on humans.
b. You shouldn't restrict your calories so severely.
c. You have lost so much weight you need dietary supplements.
d. You can't believe everything you read in those magazines.
Question 7A postmenopausal black woman who has been experiencing uterine bleeding tells the nurse, I expect I'll need a total hysterectomy because when my sister had this problem that's what she had done
The nurse recognizes that this woman belongs to a cultural subgroup whose health care beliefs are most influenced by the:
a. biomedical model.
b. magico-religious model.
c. balance/harmony model.
d. personal experience.
Quick Reply
