The nurse plans to complete a thorough assessment of an older patient. Which method should the nurse ...

The nurse plans to complete a thorough assessment of an older patient. Which method should the nurse use to gather the most complete information?
 
  a. Use a geriatric assessment instrument to evaluate the patient.
  b. Ask the patient to write down medical problems and medications.
  c. Interview both the patient and the primary caregiver for the patient.
  d. Review the patient's medical record for a history of medical problems.

Question 2

An older patient who takes multiple medications for chronic cardiac and pulmonary diseases is alert and lives with a daughter who works during the day.
 
  During a clinic visit, the patient verbalizes to the nurse that she has a strained relationship with her daughter and does not enjoy being alone all day. Which nursing diagnosis should the nurse assign as the priority for this patient?
  a. Risk for injury related to drug interactions
  b. Social isolation related to weakness and fatigue
  c. Compromised family coping related to the patient's many care needs
  d. Caregiver role strain related to need to adjust family employment schedule

Question 3

The nurse performs a comprehensive geriatric assessment of a patient who is being assessed for admission to an assisted living facility. Which question is the most important for the nurse to ask?
 
  a. Have you had any recent infections?
  b. How frequently do you see a doctor?
  c. Do you have a history of heart disease?
  d. Are you able to prepare your own meals?

Question 4

When caring for an older patient with hypertension who has been hospitalized after a transient ischemic (TIA), which topic is the most important for the nurse to include in the discharge teaching?
 
  a. Effect of atherosclerosis on blood vessels
  b. Mechanism of action of anticoagulant drug therapy
  c. Symptoms indicating that the patient should contact the health care provider
  d. Impact of the patient's family history on likelihood of developing a serious stroke

Question 5

The nurse plans to provide instructions about diabetes to a patient who has a low literacy level. Which teaching strategies should the nurse use (select all that apply)?
 
  a. Discourage use of the Internet as a source of health information.
  b. Avoid asking the patient about reading abilities and level of education.
  c. Provide illustrations and photographs showing various types of insulin.
  d. Schedule one-to-one teaching sessions to practice insulin administration.
  e. Obtain CDs and DVDs that illustrate how to perform blood glucose testing.

Question 6

A family caregiver tells the home health nurse, I feel like I can never get away to do anything for myself. Which action is best for the nurse to take?
 
  a. Assist the caregiver in finding respite services.
  b. Assure the caregiver that the work is appreciated.
  c. Encourage the caregiver to discuss feelings openly with the nurse as needed.
  d. Teach the caregiver that family members can also provide excellent patient care.

Question 7

A postoperative patient and caregiver need discharge teaching. Which actions included in the teaching plan can the nurse delegate to unlicensed assistive personnel (UAP)?
 
  a. Evaluate whether the patient and caregiver understand the teaching.
  b. Show the caregiver how to accurately check the patient's temperature.
  c. Schedule the discharge teaching session with the patient and caregiver.
  d. Give the patient a pamphlet reinforcing teaching already done by the nurse.