What actions by the nurse would help a patient who is experiencing a loss of self-control? (Select all that apply.)
a. Allowing the patient to make choices whenever possible
b. Assisting the patient to perform all self-care activities
c. Respecting the patient's right to refuse treatment
d. Explaining all procedures ahead of time
e. Adapting the environment to enhance self-care
Question 2The nurse admits a 70-year-old female to the long-term care facility.
While assisting with the assessment, the nurse notes that the patient's husband died 2 months ago and that she has pain daily in her deformed hands from rheumatoid arthritis, needs assistance to dress herself, and has become incontinent of urine. What is the most appropriate nursing diagnosis for this patient?
a. Risk for disturbed self-perception
b. Powerlessness
c. Hopelessness
d. Impaired social reaction
Question 3What can the long-term care nurse do to best relieve anxiety in a female resident?
a. Stimulate her with group activity.
b. Sedate her to allow her to sleep.
c. Provide her with coffee for relaxation.
d. Offer her a diversion of a quiet activity.
Question 4The 75-year-old woman newly admitted to a long-term care facility seems fearful of her surroundings and is frequently tearful, saying, I don't know what to do What action by the nurse would most help decrease her fear?
a. Help the resident identify and verbalize her specific fears.
b. Assure the resident that she has nothing to be afraid of.
c. Keep the light on in the resident's room 24 hours a day.
d. Play quiet music on the resident's radio.
Question 5The newly admitted 80-year-old female resident sits in her room and stares at the TV all day. What action by the nurse would best aid the patient in increasing self-esteem?
a. Encouraging her to participate in self-care activities
b. Suggesting that she change the channel to an intellectually stimulating program
c. Giving her privacy until she becomes accustomed to the long-term care facility
d. Arranging for a meal tray rather than having her eat in the dining room
Question 6The long-term care facility nurse is aware that the resident most at risk for suicide related to depression is the
a. 70-year-old man with diabetes.
b. 75-year-old woman with chronic obstructive pulmonary disease.
c. 80-year-old woman with a bipolar disorder.
d. 85-year-old man with schizophrenia.
Question 7Which patient would have the highest risk of suicide?
a. 85-year-old male with a history of an affective disorder
b. 50-year-old female with a recent divorce
c. 70-year-old female with high blood pressure
d. 65-year-old male with chronic asthma
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