During an assessment, the nurse determines that an older patient is taking several supplements that affect blood clotting. Which supplements did the nurse assess that this patient is taking? Standard Text: Select all that apply.
1. Zinc
2. Garlic
3. Fish oil
4. Ginseng
5. Vitamin E
Question 2The nurse is assigned to a patient in home care who is an 89 year old African American woman widowed and living alone. Before even making the first visit, which of the following might the nurse expect, based on her knowledge?
a. the patient will be cared for by relatives in a middle class neighborhood
b. the patient may have fewer financial resources and have a number of health problems
c. the patient is likely to be healthy and financially secure
d. the patient is most likely able to pay for all her medications without difficulty
Question 3If the nurse suspects that a patient has delirium, which of the following factors should be further investigated?
a. UTI
b. medications
c. oxygen saturation
d. all of the above
Question 4The daughter of an 80-year-old Spanish client reports that her mother seems not to understand what the doctor tells her about her disease and the treatment plan. She asks whether an interpreter is present when he talks to her mother.
You explain that every attempt to have someone translate information to her mother is being done, but sometimes it is not possible. However, you acknowledge that this may not be effective care for this patient. To meet the national standards for Culturally and Linguistically Appropriate Services (CLAS) in healthcare, the nurse would
A) continue to monitor the patient and offer explanations using common symbols.
B) report the problem to the doctor.
C) revise the plan of care to ensure an interpreter is present at all times.
D) ask the daughter to be present whenever anyone speaks to the client.
Question 5What should the nurse instruct a caregiver to do to assist a cognitively impaired older patient to self-feed?
1. Offer the patient a variety of favorite foods.
2. Provide diversional stimuli, such as a television show, so the patient can eat without thinking about it.
3. Serve each food separately with the proper utensil and cue the patient to use the utensil to eat that particular food.
4. Place the food types in the same arrangement on the plate and relate the location to the face of a clock to assist the patient in locating the food on the plate.
Question 6The nurse is caring for an older person from a different culture than her own. What is her best approach to providing holistic care to this patient?
a. provide care as she would to all other patients
b. learn more about the person's culture
c. talk to family members about the person's medical condition
d. ask other nurses what they do to care for this person
Question 7You are reviewing the lab reports for a Jehovah's Witness client. Your understanding of this religion is that they will not accept blood transfusions even though the lab values indicate that the client needs the blood.
You decide to intervene for the patient by
A) calling the doctor for an order for a blood transfusion.
B) consulting pastoral care to talk to the patient.
C) asking the client if he would reconsider the decision not to receive blood.
D) informing the doctor of the lab values and modifying care to meet the needs of the client since blood will not be administered.
Question 8Sundowner syndrome is characterized by which of the following that the nurse may observe in an older adult?
a. early morning confusion
b. oversleeping
c. nocturnal confusion
d. violent behavior after sundown
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